Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1760248702
Practice Locations (3)
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8909 PARALLEL PKWY
KANSAS CITY, KS 661121689
9135964200
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8929 PARALLEL PKWY
KANSAS CITY, KS 661121689
9135964000
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
8940 STATE AVE
KANSAS CITY, KS 661121646
9135961313
Source: CMS National Downloadable File, September 2026.