Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1990
NPI: 1972521292
Practice Locations (2)
7611 STATE LINE RD, SUITE 226
Kansas City, MO 641141670
7611 STATE LINE RD, SUITE 226
KANSAS CITY, MO 641141670
8167537071
Source: CMS National Downloadable File, September 2026.