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Individual

TYLER FICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.132056
OH
2080P0202X
Pediatric Cardiology Physician
04-46173
KS
2080P0202X
Pediatric Cardiology Physician
Primary
2022026317
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35.132056
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0458712
OH
Enumeration date
03/30/2015
Last updated
03/06/2026
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