Healthcare Provider Details

I. General information

NPI: 1821063405
Provider Name (Legal Business Name): THOMAS KEVIN RICE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: KEVIN RICE M.D.

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310C COUNTY ROAD 14
DEL NORTE CO
81132-8719
US

IV. Provider business mailing address

310 COUNTY ROAD 14
DEL NORTE CO
81132-8719
US

V. Phone/Fax

Practice location:
  • Phone: 719-657-2418
  • Fax: 719-657-3317
Mailing address:
  • Phone: 719-657-2510
  • Fax: 719-657-2511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036079932
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberDR.0045376
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: