Graduated: 2001
Also: GENERAL PRACTICE
NPI: 1851427983
Practice Locations (2)
FREDONIA REGIONAL HOSPITAL
1527 MADISON ST
FREDONIA, KS 667361751
6203782121
THEORIA MEDICAL
1626 N 8TH ST
NEODESHA, KS 667571239
6203253088
Source: CMS National Downloadable File, September 2026.