Individual
DR. KENNETH J RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10745 WESTSIDE WAY STE 125, ALPHARETTA, GA 30009-7635
(770) 410-4610
(888) 990-1674
Mailing address
10745 WESTSIDE WAY STE 125, ALPHARETTA, GA 30009-7635
(770) 410-4610
(888) 990-1674
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
034932
GA
Other
Enumeration date
08/01/2006
Last updated
02/26/2021
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