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Michelle Micsko, Phd, Llc
Clinic/Center in Lake Quivira, Kansas
NPI 1255098349

Michelle Micsko, Phd, Llc is a Clinic/Center based in Lake Quivira, KS. Michelle Micsko, Phd, Llc practices in Lake Quivira, KS. The NPI Number for Michelle Micsko, Phd, Llc is 1255098349 and holds a License No. (Kansas).

The current practice location address for Michelle Micsko, Phd, Llc is 515 Hillcrest Rd E, Lake Quivira, KS and can be reached out via phone at 913-631-3800.

Location: 515 Hillcrest Rd E, Lake Quivira, KS, 66217-8782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255098349
Provider Name
Michelle Micsko, Phd, Llc
Credential
Provider Entity Type
Organization
Address
515 Hillcrest Rd E, Lake Quivira, KS, 66217-8782
Phone Number
913-631-3800
Fax Number
Provider Enumeration Date
11/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770688228 01 NPI
institution
Provider Business Practice Location Address Details
Address
515 Hillcrest Rd E
City
Lake Quivira
State
Kansas
Zip
66217-8782
Phone Number
913-631-3800
Fax Number
person
Provider Business Mailing Address Details
Address
515 Hillcrest Rd E
City
Lake Quivira
State
Kansas
Zip
66217-8782
Phone Number
913-631-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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