Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1985
Offers telehealth
NPI: 1386614949
Practice Locations (2)
3216 GILLHAM PLZ, SUITE 210
KANSAS CITY, MO 641091742
8162131885
618 SE 4TH ST
LEES SUMMIT, MO 640632908
Source: CMS National Downloadable File, September 2026.