KELLY L DEVINE RICKERT — Medicare Enrolled Provider (PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL, IL)
KELLY L DEVINE RICKERT — Medicare Enrolled Provider (PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL, IL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: KELLY L DEVINE RICKERT; Type: Individual; NPI: 1003001405.
| Name | KELLY L DEVINE RICKERT |
|---|---|
| Type | Individual |
| NPI | 1003001405 |
| Provider type | PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| State | IL |
| Enrollment ID | I20240604002799 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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