Graduated: 2019
NPI: 1710521869
Practice Locations (3)
MAIN STREET CLINIC LLC
450 MORTON ST
ELKHART, KS 679500000
8664987922
STANTON COUNTY HOSPITAL
404 N CHESTNUT ST
JOHNSON, KS 678555001
6204926250
HAMILTON COUNTY HOSPITAL
700 N HUSER ST
SYRACUSE, KS 678787700
6203847350
Source: CMS National Downloadable File, September 2026.