Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1447238688
Practice Locations (3)
COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
1400 W 4TH ST
Coffeyville, KS 673373306
COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
1400 W 4TH ST
COFFEYVILLE, KS 673373306
62025112001147
COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.
209 W 7TH ST, PRIORITY HEALTHCARE OF COFFEYVILLE
COFFEYVILLE, KS 673374954
6202511100
Source: CMS National Downloadable File, September 2026.