Ricke, Kelly Nicole

Ricke, Kelly Nicole is an individual health care provider with primary practice located at 3580 Arcade St , Vadnais Heights MN 55127-7135. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Ricke, Kelly Nicole can be contacted via phone (651) 968-5201.

Contact Information

Primary practice address
3580 Arcade St Vadnais Heights MN 55127-7135
Phone: (651) 968-5201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 0543 South Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 3429 Minnesota

Profile Details

NPI number 1154935435
LBN Legal business name Ricke, Kelly Nicole
Credentials MA, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2020
Last updated Jan 27th, 2022 - about 2 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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