Kennedy, Alexandra Ricker
Kennedy, Alexandra Ricker is an sole proprietor health care provider with primary practice located at 3805 Brookside Dr , Tyler TX 75701-9421. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Kennedy, Alexandra Ricker can be contacted via phone (903) 581-2900.Contact Information
Primary practice address
3805 Brookside Dr
Tyler TX 75701-9421
Phone: (903) 581-2900
Fax: (903) 509-0160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 35680 | Texas |
Profile Details
| NPI number | 1891347951 |
|---|---|
| LBN Legal business name | Kennedy, Alexandra Ricker |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2019 |
| Last updated | Apr 16th, 2024 - about 5 months 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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