person
Kevin Mark Ricks, PA
Medical Physician Assistant in Houma, Louisiana
NPI 1104867258

Kevin Mark Ricks is a Medical Physician Assistant based in Houma, LA and is specialized in Medical. Kevin Mark Ricks practices in Houma, LA and has the professional credentials of PA. The NPI Number for Kevin Mark Ricks is 1104867258 and holds a License No. A10312RX (Louisiana).

The current practice location address for Kevin Mark Ricks is 1990 Industrial Boulevard, Houma, LA and can be reached out via phone at 985-868-9300 and via fax at 985-851-0053.

Location: 1990 Industrial Boulevard, Houma, LA, 70363-7055
person
Provider Profile Details
NPI Number
1104867258
Provider Name
Kevin Mark Ricks
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1990 Industrial Boulevard, Houma, LA, 70363-7055
Phone Number
985-868-9300
Fax Number
985-851-0053
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1626759 05 LA
institution
Provider Business Practice Location Address Details
Address
1990 Industrial Boulevard
City
State
Zip
70363-7055
Phone Number
985-868-9300
Fax Number
985-851-0053
person
Provider Business Mailing Address Details
Address
1990 Industrial Boulevard
City
State
Zip
70363-7055
Phone Number
985-868-9300
Fax Number
985-851-0053
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A10312RX (Louisiana)
Definition
Definition to come...
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