Individual
MRS. JESSIE L LYCANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
6650 W 110TH ST STE 330, OVERLAND PARK, KS 66211-1798
(913) 521-9090
(913) 521-9955
Mailing address
9513 W 54TH ST, MERRIAM, KS 66203-2037
(304) 654-0028
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2025054307
MO
231H00000X
Audiologist
Primary
2537
KS
237700000X
Hearing Instrument Specialist
2037
KS
Other
Enumeration date
12/10/2024
Last updated
01/27/2026
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