| Michelle Micsko, Phd, Llc | |
|
515 Hillcrest Rd E Lake Quivira KS 66217-8782 | |
| (913) 631-3800 | |
| Not Available |
| Full Name | Michelle Micsko, Phd, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |