Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2003
NPI: 1518087337
Practice Locations (1)
OSAWATOMIE STATE HOSPITAL
500 STATE HOSPITAL DR
OSAWATOMIE, KS 660641813
9137557073
Source: CMS National Downloadable File, September 2026.