Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1386831626
Practice Locations (2)
901 E 104TH ST, MAILSTOP 400S
KANSAS CITY, MO 641319724
901 E 104TH ST MAILSTOP, 400S
KANSAS CITY, MO 641314517
Source: CMS National Downloadable File, September 2026.