Individual
DEREK A FICKENSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6700 COLLEGE BLVD, OVERLAND PARK, KS 66211-1525
(913) 693-7198
(877) 409-3317
Mailing address
6700 COLLEGE BLVD, OVERLAND PARK, KS 66211-1525
(913) 693-7198
(913) 409-3317
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2002008817
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205876204
—
MO
Enumeration date
04/27/2006
Last updated
09/12/2023
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