Graduated: 2012
NPI: 1386984045
Practice Locations (2)
CENTERWELL SENIOR PRIMARY CARE MO PC
19401 E 39TH ST S
INDEPENDENCE, MO 640572308
8164904277
CENTERWELL SENIOR PRIMARY CARE MO PC
5121 NE ANTIOCH RD
KANSAS CITY, MO 641192536
8169466901
Source: CMS National Downloadable File, September 2026.