Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2009
NPI: 1639300536
Practice Locations (1)
PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
1000 CARONDELET DR
KANSAS CITY, MO 641144673
8169434758
Source: CMS National Downloadable File, September 2026.