Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1994
NPI: 1780641878
Practice Locations (2)
9449 E 21ST ST N, SUITE 100
WICHITA, KS 672062696
3162648932
9449 E 21ST ST N, SUITE 100
WICHITA, KS 672062970
Source: CMS National Downloadable File, September 2026.