Rickner, Kyle W

Rickner, Kyle W is an individual health care provider with primary practice located at 11 Palm Ave , Yukon OK 73099-5645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rickner, Kyle W can be contacted via phone (405) 350-5140.

Contact Information

Primary practice address
11 Palm Ave Yukon OK 73099-5645
Phone: (405) 350-5140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21266 Oklahoma

Profile Details

NPI number 1023020641
LBN Legal business name Rickner, Kyle W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Mar 17th, 2016 - about 10 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 1023020641 NPPES
Oklahoma MEDICAID 100256110A

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