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Individual

DR. DAPHNE ANN WICKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
13424 SANTA FE TRAIL DRIVE, LENEXA, KS 66215
(913) 438-1115
(913) 438-3356
Mailing address
13424 SANTA FE TRAIL DRIVE, LENEXA, KS 66215
(913) 438-1115
(913) 438-3356

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104755
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31318011
BCBS
KS
Enumeration date
12/22/2006
Last updated
11/29/2023
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