Individual provider · Type 1 NPI

Kevin Mark Ricks, PA

Medical Physician Assistant · Houma, LA

NPI number 1104867258 Active

Practice location

1990 Industrial Boulevard
Houma, LA 70363-7055

Fax (985) 851-0053

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XA10312RX (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1104867258

Kevin Mark Ricks, PA's National Provider Identifier is 1104867258, issued on Jun 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Houma, LA. The record was last updated on Jun 8, 2009.