Graduated: 2024
NPI: 1336850494
Practice Locations (2)
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
4000 CAMBRIDGE ST
KANSAS CITY, KS 661600001
9135885000
SSM HEALTH CARE GROUP
1201 S GRAND BLVD
SAINT LOUIS, MO 631041016
3146172000
Source: CMS National Downloadable File, September 2026.