Search › Kansas › 152W00000X
Russell Icke, OD
NPI 1134113319 · on the registry since 2005 · sole proprietor
Practice
- Address
- 7050 E Lincoln St
Wichita, KS 67207 - Phone
- (316) 683-9671
- Fax
- (316) 683-0168
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas