Kinzey, Rickey Dale

Kinzey, Rickey Dale is an sole proprietor health care provider with primary practice located at 400 Mann St Ste 107 , Corpus Christi TX 78401-2046. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Kinzey, Rickey Dale can be contacted via phone (361) 533-9911.

Contact Information

Primary practice address
400 Mann St Ste 107 Corpus Christi TX 78401-2046
Fax:
Website:

Profile Details

NPI number 1801881016
LBN Legal business name Kinzey, Rickey Dale
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2005
Last updated Mar 7th, 2024 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801881016 NPPES
Indiana Other 000000368845 RKP ANTHEM
Indiana MEDICAID 434219808 RKP ANTHEM
Indiana MEDICAID 100446040 RKP ANTHEM
Indiana Other 000000368855 RKP ANTHEM

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