Individual
DR. ALICIA A. HUCKSTADT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, ARNP, FNP
Contact information
Practice address
1845 FAIRMOUNT ST, BOX 41, WICHITA, KS 67260-0001
(316) 978-5742
(316) 978-3094
Mailing address
13303 E. CAMDEN CHASE ST., WICHITA, KS 67228-8028
(316) 636-9248
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5344403
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
5344403
KS
Other
Enumeration date
06/15/2006
Last updated
09/11/2025
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