Provider Demographics
NPI:1487645651
Name:RICE, KATHLEEN MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARY
Last Name:RICE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:905 PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7075
Practice Address - Country:US
Practice Address - Phone:336-802-2040
Practice Address - Fax:336-802-2041
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2009-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9701562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC38742OtherPARTNERS MEDICARE
NC0108583OtherUNITED HEALTHCARE
NCP00725389OtherRAILROAD MEDICARE
NCA0851OtherMEDCOST
NC127U8OtherBCBS OF NC
NC89127U8Medicaid
NC561936632OtherTAX ID NUMBER
NC0108583OtherUNITED HEALTHCARE
NC38742OtherPARTNERS MEDICARE
NCH30102Medicare UPIN
NC89127U8Medicaid