Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2009
NPI: 1962636944
Practice Locations (1)
KANSAS MEDICAL CENTER LLC
308 E CENTRAL AVE, ANDOVER MEDICAL CLINIC
ANDOVER, KS 670025605
3167331331
Source: CMS National Downloadable File, September 2026.