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Jeremy Lickteig

NPI 1366016610 · on the registry since 2021

Practice

Address
750 W D Ave
Kingman, KS 67068
Phone
(620) 532-3147
Fax
(855) 483-0002
Organisation at this address
Alliance Imaging Inc
Marsha Stineman Crna Ms Pa
Christopher H Surtman Dpm Llc
Cancer Center Of Kansas, P.A.
Ninnescah Valley Health Systems Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-05
Status
Not present in the most recent federal file

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