Peckham-Wichman, Lila

Peckham-Wichman, Lila is an sole proprietor health care provider with primary practice located at 8629 Bluejacket St Suite 100, Lenexa KS 66214-1604. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Peckham-Wichman, Lila can be contacted via phone (913) 677-3553.

Contact Information

Primary practice address
8629 Bluejacket St Suite 100 Lenexa KS 66214-1604
Phone: (913) 677-3553
Fax: (913) 677-3282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 35005 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 74418 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 45223 Kansas

Profile Details

NPI number 1366409427
LBN Legal business name Peckham-Wichman, Lila
Credentials APRN, CNS, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Feb 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366409427 NPPES
Kansas MEDICAID 100405690C

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