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Individual

DR. KATHLEEN RICKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1 NORTH NICE ST, FRACKVILLE, PA 17931
(570) 874-4424
(570) 874-4424
Mailing address
1 NORTH NICE ST, FRACKVILLE, PA 17931
(570) 874-4424
(570) 874-4424

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004252L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017137630001
PA
01
02677900
PA CAPITAL BC
PA
01
341808
PA BLUE SHIELD
PA
01
55149
GEISINGER
Enumeration date
04/26/2006
Last updated
06/18/2008
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