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Individual
DR. RICKY KELLENBERGER
Active
Individual
DR. RICKY KELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2000157954
MO
207Q00000X
Family Medicine Physician
Primary
05-19720
KS
208M00000X
Hospitalist Physician
05-19720
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245111802
—
MO
Enumeration date
01/03/2006
Last updated
09/11/2025
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