Individual
KYLE ASHLEY RICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE, UNIVERSITY OF LOUISVILLE, SCHOOL OF MEDICINE, LOUISVILLE, KY 40292-0001
(502) 852-8203
Mailing address
14010 LACLARA WAY, LOUISVILLE, KY 40299-5088
(502) 235-1159
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
11/29/2011
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