Individual
KATHLEEN RICKERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6275
(608) 280-2507
Mailing address
49 KESSEL CT, MADISON, WI 53711-6275
(608) 280-2507
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
72109
WI
Other
Enumeration date
05/17/2007
Last updated
09/21/2016
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