Ricks, Kevin

Ricks, Kevin is an individual health care provider with primary practice located at 300 Rawls Dr Ste 600 , Mccomb MS 39648-2862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ricks, Kevin can be contacted via phone (601) 249-4415.

Contact Information

Primary practice address
300 Rawls Dr Ste 600 Mccomb MS 39648-2862
Phone: (601) 249-4415
Fax: (601) 249-4474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23348 Mississippi

Profile Details

NPI number 1770874687
LBN Legal business name Ricks, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2011
Last updated Dec 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770874687 NPPES
Mississippi MEDICAID 08238055

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