Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2012
NPI: 1528303039
Practice Locations (2)
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8919 PARALLEL PKWY, SUITE 206
KANSAS CITY, KS 661121655
9133346800
PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
1000 CARONDELET DR
KANSAS CITY, MO 641144673
8169434758
Source: CMS National Downloadable File, September 2026.