Individual
DR. MAX L IRICK
Active
Individual
DR. MAX L IRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17516
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000692773
ANTHEM- NCMA
KY
05
—
201014360
—
IN
01
—
2537920
CIGNA- NMCA
KY
01
—
50031968
PASSPORT- NMCA
KY
05
—
64175169
—
KY
01
—
P00869556
RAILROAD MEDICARE- NCMA
KY
Enumeration date
01/05/2007
Last updated
01/12/2016
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