Individual
MRS. KAYE BROWNLEE RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6654
Mailing address
PO BOX 743070, PHYSICIAN BILLING SERVICE, ATLANTA, GA 30374-3070
(864) 560-4304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001000967
NC
363A00000X
Physician Assistant
Primary
1884
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1561PA
—
SC
Enumeration date
07/20/2007
Last updated
12/10/2020
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