Heather Licke, MD

NPI #1093026429 in Saint Francis, Kansas

Provider Information

NPI Number: 1093026429
Entity Type: Individual
Name: Heather Licke, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 30, 2010
Last Updated: May 11, 2022

Practice Location

Address: 221 W 1ST ST
City: Saint Francis
State: Kansas
ZIP Code: 67756-3540
Phone: (785) 332-2682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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