MEDICARE: DR. KATHLEEN DOLORES RICKERT-MADDEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	U5216	TX
2	207X00000X	Orthopaedic Surgery Physician	A140439	CA
3	207XP3100X	Pediatric Orthopaedic Surgery Physician	U5216	TX
4	207X00000X	Orthopaedic Surgery Physician	2025-03857	NC

General Provider Information

NPI Number	:	1023308921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN DOLORES RICKERT-MADDEN M.D.

Provider Business Mailing Address
First Line	:	311 TRENT DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-3038
Country	:	US
Telephone Number	:	919-613-0378
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 TRENT DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-3038
Country	:	US
Telephone Number	:	919-613-0378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2011
Last Update Date	:	12/20/2025

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