Provider Demographics
NPI:1518007111
Name:RIEKHOF, JOHN TEMPEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TEMPEL
Last Name:RIEKHOF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 W IRON AVE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2600
Mailing Address - Country:US
Mailing Address - Phone:785-826-5752
Mailing Address - Fax:785-827-2854
Practice Address - Street 1:119 W IRON AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2600
Practice Address - Country:US
Practice Address - Phone:785-826-5752
Practice Address - Fax:785-827-2854
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS63432085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200588890BMedicaid
KS200588890BMedicaid