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Contact Information

PETER MICK, NP-C
514 CLEVELAND ST
GREAT BEND, KS67530-3562
 Phone: 620-792-8833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PETER MICK · (Male)

NPI # 1164074076
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 07/10/2019
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 53-78864-062
Hospital affiliation(s)
  • GREAT BEND REGIONAL HOSPITAL - (Acute Care)
    514 CLEVELAND STREET
    GREAT BEND, KS 67530
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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