Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Lickteig

Individual provider Family Medicine Physician · NPI 1366016610

Jeremy Lickteig is a Family Practice in Kingman, Kansas. Qualified in 2021, 5 years ago. Practices with Ninnescah Valley Health Systems Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2021

Practice location Address checks out

750 W D Ave
Kingman, KS 67068-1266
Phone: (620) 532-3147
Fax: (855) 483-0002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 94-10493 (KS)

Record details

NPI number1366016610
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ninnescah Valley Health Systems Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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