Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 2023
NPI: 1851096457
Practice Locations (3)
PO BOX
CINCINNATI, OH 45263
265 BROOKVIEW CENTRE WAY
KNOXVILLE, TN 379194052
265 BROOKVIEW CENTRE WAY
KNOXVILLE, TN 379194053
Source: CMS National Downloadable File, September 2026.