Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1979
Offers telehealth
NPI: 1992865307
Practice Locations (1)
4121 W 83RD ST, SUITE 204
PRAIRIE VILLAGE, KS 662085323
9136772277
Source: CMS National Downloadable File, September 2026.