Individual
KENNETH C. RICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD08987
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-00163
UNITED HEALTHCARE
RI
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
RI
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
204792
BLUE CHIP
RI
01
—
25226-5
BLUE CROSS
RI
05
—
9025246
—
RI
Enumeration date
07/28/2006
Last updated
05/20/2008
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