IndividualActive
Jace Rickstrew, MD
NPI 1992209472 · Dermatology Physician · Manhattan, KS
Provider details
- NPI number
- 1992209472
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 04-48669 (KS)
Practice location
4201 Anderson Ave Ste F
Manhattan, KS 66503-7603
Phone: (785) 539-4645
Fax: (785) 539-1655
Mailing address
9300 E 29th St N Ste 310
Wichita, KS 67226-2160
Registry dates
- Enumerated
- 2018-03-20
- Last updated
- 2025-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.