Individual
CHARLES CHRISTIAN RICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(865) 293-5335
Mailing address
379 ASHLEY ST, FLEMINGSBURG, KY 41041-8777
(606) 615-3265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
KY PA 837
KY
363AM0700X
Medical Physician Assistant
PA 837
KY
Other
Enumeration date
06/03/2008
Last updated
03/27/2015
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