Individual
KIM L RICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2839
(570) 887-3122
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
43836-020
WI
207T00000X
Neurological Surgery Physician
7571
TX
207T00000X
Neurological Surgery Physician
M7571
TX
207T00000X
Neurological Surgery Physician
Primary
MD455464
PA
Other
Enumeration date
01/03/2007
Last updated
03/08/2021
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