Individual
MS. PAMELA RICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CDE
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
1049886
KY
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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