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Ricky Smith

NPI 1164763314 · on the registry since 2013 · sole proprietor

Practice

Address
4337 Se 15th St
Del City, OK 73115
Phone
(405) 609-1760
Fax
(405) 609-1769
Organisation at this address
Dynasty Care Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma