Individual
DAVID J RICKETTS-KINGFISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6100
(785) 354-5004
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6100
(785) 354-5004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
420972
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067137
MEDICARE PTAN
KS
05
—
100299320A
—
KS
Enumeration date
04/07/2006
Last updated
04/16/2018
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