Individual
RIKKIE RENEE THOUVENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
906 S LINCOLN AVE, CHANUTE, KS 66720-3041
(620) 308-0860
Mailing address
906 S LINCOLN AVE, CHANUTE, KS 66720-3041
(620) 308-0860
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
78885645
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6780005
—
KS
Enumeration date
02/02/2019
Last updated
02/02/2019
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