Ricketts, Lee W

Ricketts, Lee W is an individual health care provider with primary practice located at 2600 Gribbin Dr , Lexington KY 40517-4498. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ricketts, Lee W can be contacted via phone (859) 268-8190.

Contact Information

Primary practice address
2600 Gribbin Dr Lexington KY 40517-4498
Phone: (859) 268-8190
Fax: (859) 268-9823
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30881 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30881 Kentucky

Profile Details

NPI number 1467498683
LBN Legal business name Ricketts, Lee W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467498683 NPPES
Kentucky MEDICAID 64308810
Kentucky Other 000000308817

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