Individual
JAMES PICKEREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
618 OREGON ST, HIAWATHA, KS 66434-2231
(785) 740-4327
(816) 676-2901
Mailing address
618 OREGON ST, HIAWATHA, KS 66434-2231
(785) 740-4327
(816) 676-2901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1668
KS
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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