Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2010
NPI: 1790085462
Practice Locations (2)
10310 STATE LINE RD A
LEAWOOD, KS 662062695
PO BOX, SUITE 415036
KANSAS CITY, MO 64141
Source: CMS National Downloadable File, September 2026.