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Organization

HY VEE HEALTH OF KANSAS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL S FICK MD (OWNER)
(515) 225-2930
Entity
Organization

Contact information

Practice address
3504 CLINTON PKWY, LAWRENCE, KS 66047-2145
(515) 695-3121
Mailing address
5820 WESTOWN PKWY, WEST DES MOINES, IA 50266-8223
(515) 225-2930

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
11/07/2024
Last updated
11/08/2024
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