Keith Rickard LCP

NPI 1700041829 - Psychologist - 103TC0700X

NPI Details
NPI 1700041829
Gender Male
Enumeration Date 07/29/2008
Last Updated 07/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
500 LIMIT ST
LEAVENWORTH KS, 66048-4435, US
Phone (913) 682-5118
Fax (913) 682-4664
Business Location
500 LIMIT ST
LEAVENWORTH KS, 66048-4435, US
Phone (913) 682-5118
Fax (913) 682-4664
Toxanomy
Taxonomy Code 103TC0700X
License State Kansas
License Number 104
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According to our database, Keith Rickard LCP NPI is 1700041829, taxonomy code is 103TC0700X and license number is 104, license state is located at Kansas. Keith Rickard LCP physically located at 500 Limit St, Leavenworth KS, 66048-4435. NPI Number Keith Rickard LCP has the Individual type.

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1700041829 NPI number is provided on an as is basis without warranty of any kind. 1700041829 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Rickard LCP are for informational purposes only.