Kevin Mark Ricks is a Medical in Houma, Louisiana. Kevin Mark Ricks practices all healthcare services and medical treatments related to Medical. The NPI Number for Kevin Mark Ricks is 1104867258. The last update date is 2009-06-08.
Kevin Mark Ricks's current location address is 1990 Industrial Boulevard, Houma, Louisiana. You can contact this provider via phone number 9858689300 and fax number 9858510053. The mailing address for Kevin Mark Ricks is 1990 Industrial Boulevard, Houma, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Mark Ricks |
|---|---|
| Address | 1990 Industrial Boulevard, Houma, Louisiana |
| Phone Number | 9858689300 |
| Fax Number | 9858510053 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1104867258 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2009-06-08 |
Provider Mailing Address Detail
| Address | 1990 Industrial Boulevard |
|---|---|
| City | Houma |
| State | Louisiana (LA) |
| Post Code | 703637055 |
| Phone Number | 9858689300 |
| Fax Number | 9858510053 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | A10312RX |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1626759 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Mark Ricks by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin Mark Ricks has been assigned the NPI (National Provider Identifier) 1104867258. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kevin Mark Ricks is physically located?
The Kevin Mark Ricks is physically situated at the following address: 1990 Industrial Boulevard, Houma, LA, 703637055.
What is the Kevin Mark Ricks's specialty and taxonomy code?
The Kevin Mark Ricks's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104867258 to Kevin Mark Ricks?
The Centers for Medicare & Medicaid Services assigned the 1104867258 to Kevin Mark Ricks on 2006-06-09.
When was the Kevin Mark Ricks's information last updated?
The Kevin Mark Ricks's information was last updated on 2009-06-08.
NPI Number: 1902802911
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