Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2014
Offers telehealth
NPI: 1891100897
Practice Locations (1)
KINGMAN HEALTHCARE INC
3801 SANTA ROSA DR, SUITE 300
KINGMAN, AZ 864012311
9286818744
Source: CMS National Downloadable File, September 2026.