Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2024
NPI: 1902567050
Practice Locations (2)
4416 FAIRMOUNT AVE
Kansas City, MO 641114354
4416 FAIRMOUNT AVE
KANSAS CITY, MO 641114354
Source: CMS National Downloadable File, September 2026.