Provider Demographics
NPI:1700483351
Name:RIKARD, JOSHUA CLAYTON
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CLAYTON
Last Name:RIKARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 N OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67152-3465
Mailing Address - Country:US
Mailing Address - Phone:813-892-5366
Mailing Address - Fax:
Practice Address - Street 1:717 N OLIVE ST
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:KS
Practice Address - Zip Code:67152-3465
Practice Address - Country:US
Practice Address - Phone:813-892-5366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care