Individual
KATHLEEN G RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 S RIDGECREST AVE, NIXA, MO 65714-7807
(417) 725-5280
(417) 725-8253
Mailing address
105 S RIDGECREST AVE, NIXA, MO 65714-7807
(417) 725-5280
(417) 725-8253
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R9599
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00364225
RR MEDICARE
—
Enumeration date
10/03/2005
Last updated
07/08/2007
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