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
Phone: (361) 533-9911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | T1985 | Texas |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 02000860C | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 02000860A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02000860A | Indiana |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | T1985 | Texas |
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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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