Individual provider · Type 1 NPI
Taylor Kane Rickenbaker, PA-C
Surgical Physician Assistant · Virginia Beach, VA
NPI number
1033450010
Active
Practice location
144 S Gum Ave
Virginia Beach, VA 23452-1221
Other practice locations
- 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 · (757) 395-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | None listed |
| Surgical Technologist | 246ZS0410X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | 0110007929 (VA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1033450010
Taylor Kane Rickenbaker, PA-C's National Provider Identifier is 1033450010, issued on Mar 15, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Virginia Beach, VA. The record was last updated on Jan 19, 2022.