Individual
KYLE MATTHEW RICKSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
130 NORTH ST, CAPE COD ORTHOPAEDICS AND SPORTS MEDICINE, P.C., HYANNIS, MA 02601-3825
(508) 568-3761
(508) 775-2352
Mailing address
130 NORTH ST, CAPE COD ORTHOPAEDICS AND SPORTS MEDICINE, P.C., HYANNIS, MA 02601-3825
(508) 568-3761
(508) 775-2352
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA5210
MA
Other
Enumeration date
10/24/2014
Last updated
10/06/2016
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