Individual
MRS. KATRINA L HICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T. (R) (M)
Contact information
Practice address
3520 LAKIN AVE, GREAT BEND, KS 67530-3660
(620) 792-5827
(620) 792-2424
Mailing address
3520 LAKIN AVE, GREAT BEND, KS 67530-3660
(620) 792-5827
(620) 792-2424
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
22-02921
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154382737
—
KS
Enumeration date
09/15/2009
Last updated
09/15/2009
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