Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1987
NPI: 1609832013
Practice Locations (1)
KANSAS MEDICAL CENTER LLC
1124 W 21ST ST, KMC PHYSICIANS
ANDOVER, KS 670025500
3163004000
Source: CMS National Downloadable File, September 2026.