Michelle Micsko, Phd, Llc | |
515 Hillcrest Rd E Lake Quivira KS 66217-8782 | |
(913) 631-3800 | |
Not Available |
Full Name | Michelle Micsko, Phd, Llc |
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Speciality | Clinic/center |
Location | 515 Hillcrest Rd E, Lake Quivira, Kansas |
Authorized Official Name and Position | Michelle M Micsko (OWNER) |
Authorized Official Contact | 9136313800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michelle Micsko, Phd, Llc 515 Hillcrest Rd E Lake Quivira KS 66217-8782 Ph: (913) 631-3800 | Michelle Micsko, Phd, Llc 515 Hillcrest Rd E Lake Quivira KS 66217-8782 Ph: (913) 631-3800 |
NPI Number | 1255098349 |
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Provider Enumeration Date | 11/23/2021 |
Last Update Date | 11/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255098349 | NPI | - | NPPES |
1770688228 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |