Provider Demographics
NPI:1942284799
Name:MYHAND, RICKEY CEE (MD)
Entity Type:Individual
Prefix:DR
First Name:RICKEY
Middle Name:CEE
Last Name:MYHAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 CHAMBERLIN AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4220
Mailing Address - Country:US
Mailing Address - Phone:502-699-2285
Mailing Address - Fax:502-699-2284
Practice Address - Street 1:617 CHAMBERLIN AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4220
Practice Address - Country:US
Practice Address - Phone:502-699-2285
Practice Address - Fax:502-699-2284
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 7394207RH0003X
KY45713207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100228410Medicaid
KY7100228410Medicaid