Individual
LELAI MALCA KERRY RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7141 SECURITY BLVD, KAISER PERMANENTE WOODLAWN MEDICAL CENTER, WHITE MARSH, MD 21236-5916
(410) 933-7600
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D68019
MD
Other
Enumeration date
03/05/2007
Last updated
01/19/2022
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