Graduated: 2026
NPI: 1649103441
Practice Locations (3)
6901 SHAWNEE MISSION PKWY, SUITE 400
OVERLAND PARK, KS 662024033
2130 S 12TH ST APT, SUITE 306
Bismarck, ND 585043139
4900 OTTAWA ST, SUITE 300
BISMARCK, ND 585036154
Source: CMS National Downloadable File, September 2026.