Individual
MR. LEE W RICKETTS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 GRIBBIN DR, LEXINGTON, KY 40517-4498
(859) 268-8190
(859) 268-9823
Mailing address
2600 GRIBBIN DR, LEXINGTON, KY 40517-4498
(859) 268-8190
(859) 268-9823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30881
KY
208000000X
Pediatrics Physician
30881
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000308817
ANTHEM
—
05
—
64308810
—
KY
Enumeration date
06/22/2006
Last updated
01/23/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us