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
Mailing address750 W D Ave, Kingman, KS 67068-1266

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

Other providers in Kingman