Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 2005
Also: UNDERSEA AND HYPERBARIC MEDICINE
NPI: 1720245442
Practice Locations (1)
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8919 PARALLEL PKWY, SUITE 121
KANSAS CITY, KS 661121655
9135967230
Source: CMS National Downloadable File, September 2026.