Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY LICKTEIG
ActiveJEREMY LICKTEIG is a Family Medicine healthcare provider located in KINGMAN, Kansas. NPI 1366016610 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KINGMAN, KS
Registration Details
- NPI Number
- 1366016610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2021 (5.23377345249 yrs)
- Last Updated
- Aug 5, 2025
- License
-
94-10493 (KS)
Practice Information
- Address
-
750 W D AVEKINGMAN, KS, 670681266Browse KS providers · Browse ZIP 67068
- Phone
- 6205323147
- Fax
- 8554830002
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in KINGMAN, KS
| Name | Credential | NPI |
|---|---|---|
| DR. VICTORIA M MOOTS | DO | 1639166986 |
| CHERIE LOUISE MORRIS | MD | 1174550321 |
| STEPHEN G GRILLOT | D.O. | 1083714380 |
| ERIN M BAXA | MD | 1548487440 |
| JOSEPH GERBER | MD | 1114549177 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.