Medical school: KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated: 2013
NPI: 1861838245
Practice Locations (1)
ASCENSION MEDICAL GROUP VIA CHRISTI PA
9211 E 21ST ST N, VIA CHRISTI CLINIC PA
WICHITA, KS 672062900
3166094501
Source: CMS National Downloadable File, September 2026.