Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2003
NPI: 1568491348
Practice Locations (1)
KANSAS MEDICAL CENTER LLC
1124 W 21ST ST, ANDOVER ANESTHESIA CARE SPECIALISTS
ANDOVER, KS 670025500
3163004911
Source: CMS National Downloadable File, September 2026.