Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1991
NPI: 1689666059
Practice Locations (1)
SUMMIT SKIN CARE INCORPORATED
3521 NE RALPH POWELL RD, SUITE C
LEES SUMMIT, MO 640642324
8165548346
Source: CMS National Downloadable File, September 2026.