Individual provider · Type 1 NPI

Dane K. Wicks, MD

Family Medicine Physician · Lees Summit, MO

NPI number 1912989138 Active

Practice location

400 SW Longview Blvd Ste 280
Lees Summit, MO 64081-2157

Call (337) 991-9276 Map

Mailing address

5750 Johnston St Ste 205
Lafayette, LA 70503-5345

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Family Medicine) Physician	207QG0300X	84-288 (NM)
Family Medicine Physician	207Q00000X	84-288 (NM)
Family Medicine Physician Primary	207Q00000X	R4C66 (MO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

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About NPI 1912989138

Dane K. Wicks, MD's National Provider Identifier is 1912989138, issued on Nov 15, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lees Summit, MO. The record was last updated on Apr 24, 2026.