Graduated: 1982
NPI: 1457398190
Practice Locations (4)
2040 HUTTON RD, SUITE 102
KANSAS CITY, KS 661094566
9132205193
8929 PARALLEL PKWY
KANSAS CITY, KS 661121689
9132205193
3601 S 4TH ST, SUITE 5
LEAVENWORTH, KS 660485046
9132205193
9100 W 74TH ST, SHAWNEE MISSION MEDICAL CENTER
OVERLAND PARK, KS 662044004
9132205193
Source: CMS National Downloadable File, September 2026.