Graduated: 2014
NPI: 1417353343
Practice Locations (2)
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8919 PARALLEL PKWY, SUITE 440
KANSAS CITY, KS 661121655
9135967286
MERITAS HEALTH CORPORATION
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 641163276
8166911221
Source: CMS National Downloadable File, September 2026.