JEREMY LICKTEIG

Family Medicine

Active Individual
NPI: 1366016610

Practice Address

750 W D AVE
Kingman, KS 67068

Phone: (620) 532-3147

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 94-10493 (KS)

Frequently Asked Questions

NPI 1366016610 is the National Provider Identifier for JEREMY LICKTEIG, a Family Medicine provider located in Kingman, KS. This NPI was enumerated on May 19, 2021.
JEREMY LICKTEIG practices at 750 W D AVE, Kingman, KS 67068.

Quick Facts

NPI
1366016610
Type
Individual
Enumerated
May 19, 2021
Last Updated
Aug 5, 2025

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