Individual
DR. KYLE RYAN MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-6256
Mailing address
105 SIN DEL DR, HOLTON, KS 66436-1963
(785) 305-0749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100868
KS
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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