Rickey Dale Kinzey
Internist - Addiction Medicine
1802 E 10th St
Jeffersonville
, Indiana 47130-6016
Rickey Dale Kinzey
Internist - Addiction Medicine
1802 E 10th St
Jeffersonville
, Indiana 47130-6016
(770) 573-9513
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Rickey Dale Kinzey
- 2100 Market St Ste 101
- Charlestown, IN
- Zip : 47111-9535
- Fax : (770) 573-9513
- Phone : (812) 503-5100
Second Address
- Rickey Dale Kinzey
- 1802 E 10th St
- Jeffersonville, IN
- Zip : 47130-6016
- Fax : (770) 573-9513
- Phone : (812) 288-2488
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0401X | Internist - Addiction Medicine | 02000860A | IN |
National Provider Identifier
| NPI | 1801881016 |
|---|---|
| Provider Name | Rickey Dale Kinzey |
| First Address | Charlestown, IN 47111-9535 |
| Second Address | Jeffersonville, IN 47130-6016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2005 |
| Last Update Date | 08/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000368845 | RKP ANTHEM (01) | IN |
| 000000368855 | RKA ANTHEM (01) | IN |
| 100446040 | (05) | IN |
| E35247 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.