Individual
KASSY RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1350 N MAIN ST, MADISONVILLE, KY 42431-1282
(270) 245-2554
(270) 245-2689
Mailing address
9086 STATE ROUTE 132 WEST, CLAY, KY 42404
(270) 664-2526
(270) 664-6082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23095
TN APN
TN
01
—
3011835
APN LICENSE
KY
Enumeration date
11/17/2017
Last updated
10/28/2024
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