Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 04-40366 | KS |
NPI | 1740440106 |
---|---|
Provider Name | Brandy L Ficek |
First Address | Topeka, KS 66604 |
Second Address | Topeka, KS 66606-1764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 05/11/2018 |