Miss Kelly Nicole Ricke, MA, ATC is a
Specialist/technologist - Athletic Trainer physician based in Vadnais Heights, Minnesota. Miss Kelly Nicole Ricke is licensed to practice in Minnesota (license number 3429) and her current practice location is 3580 Arcade St, Vadnais Heights, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 968-5201.
NPI number for Miss Kelly Nicole Ricke is 1154935435 and her current mailing address is 84 Water St W Apt 311, Saint Paul, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154935435.
Physician's Profile
Full Name | Miss Kelly Nicole Ricke |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 3580 Arcade St, Vadnais Heights, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154935435
- Provider Enumeration Date: 09/03/2020
- Last Update Date: 01/27/2022
Medical Identifiers
Medical identifiers for Miss Kelly Nicole Ricke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154935435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 0543 (South Dakota) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 3429 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kelly Nicole Ricke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Kelly Nicole Ricke, MA, ATC 84 Water St W Apt 311, Saint Paul, MN 55107-4403 Ph: (605) 553-2302 | Miss Kelly Nicole Ricke, MA, ATC 3580 Arcade St, Vadnais Heights, MN 55127-7135 Ph: (651) 968-5201 |
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