Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2003
Offers telehealth
NPI: 1629283908
Practice Locations (1)
WAKE FOREST HEALTH NETWORK LLC
145 KIMEL PARK DR, SUITE 100
WINSTON SALEM, NC 271036983
3367686347
Source: CMS National Downloadable File, September 2026.