Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 2020
NPI: 1881210250
Practice Locations (1)
PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
100 NW MOCK AVE, 200 FAMILY MEDICAL CARE ASSOCIATES
BLUE SPRINGS, MO 640142500
8162281000
Source: CMS National Downloadable File, September 2026.