Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2006
NPI: 1750552774
Practice Locations (1)
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
101 W SYCAMORE ST
COLUMBUS, KS 667251276
6204292101
Source: CMS National Downloadable File, September 2026.