Individual
PETER MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 792-8833
Mailing address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78864-062
KS
Other
Enumeration date
07/10/2019
Last updated
09/09/2025
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