John M Ricketts in Kennett - Nurse Anesthetist, Certified Registered

John M Ricketts - NPI 1053520874

John M Ricketts is a Nurse Anesthetist, Certified Registered in Kennett, Missouri. John M Ricketts practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for John M Ricketts is 1053520874. The last update date is 2014-08-06.

John M Ricketts's current location address is 1231 1st St, Kennett, Missouri. You can contact this provider via phone number 5738884522. The mailing address for John M Ricketts is 1231 1st St, Kennett, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name John M Ricketts
Address 1231 1st St, Kennett, Missouri
Phone Number 5738884522
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1053520874
Provider Enumeration Date 2007-05-21
Last Updated Date 2014-08-06

Provider Mailing Address Detail

Address 1231 1st St
City Kennett
State Missouri (MO)
Post Code 638572527
Phone Number 5738884522
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 60608
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
145737701 AR --
1053520874 MO --

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FAQs about John M Ricketts

What is the unique 10-digit identification code issued to John M Ricketts by the Centers for Medicare & Medicaid Services?

The John M Ricketts has been assigned the NPI (National Provider Identifier) 1053520874 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where John M Ricketts is physically located?

The John M Ricketts is physically situated at the following address: 1231 1St St, Kennett, MO, 638572527.

What is John M Ricketts's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John M Ricketts is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1053520874 to John M Ricketts?

The Centers for Medicare & Medicaid Services assigned the 1053520874 to John M Ricketts on 2007-05-21.

When was the information pertaining to John M Ricketts most recently updated or revised?

The details related to John M Ricketts, including its address, specialty, and other relevant information, were last updated or revised on 2014-08-06.

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