Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2001
NPI: 1659379113
Practice Locations (1)
GREAT PLAINS OF ELLINWOOD INC
300 N PARK AVE, ELLINWOOD HOSPITAL CLINIC
ELLINWOOD, KS 675261452
6205642548
Source: CMS National Downloadable File, September 2026.