Individual
DR. RICKIE KELVIN MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(919) 966-5136
Mailing address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(919) 966-5136
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2022-01330
NC
207L00000X
Anesthesiology Physician
35.065479
OH
207L00000X
Anesthesiology Physician
MD430885
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0931504
—
OH
01
—
10829973
CAQH
—
01
—
4238531
MEDICARE PTAN
OH
Enumeration date
09/14/2005
Last updated
01/30/2025
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