Individual
KATHLEEN J. RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR. PH, RN, CNS
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
550484
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154330801
—
TX
01
—
890001197
RR MEDICARE
—
01
—
8N2887
BCBS
TX
Enumeration date
10/13/2006
Last updated
09/28/2011
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