Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1997
NPI: 1396991444
Practice Locations (2)
STATE OF KANSAS-ACCOUNTING SERVICES
1301 K264 HWY
LARNED, KS 675505353
STATE OF KANSAS-ACCOUNTING SERVICES
1301 KS HWY 264
LARNED, KS 675505353
6202852131
Source: CMS National Downloadable File, September 2026.