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KENRICK LICORISH, MD
MD
Psychiatry Physician
NPI: 1144759085IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Psychiatry PhysicianPrimary
Psychiatry & Neurology — Psychiatry
Code: 2084P0800X
A159723(CA)
CMS Specialties
PrimaryPSYCHIATRY
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054 - Phone
- (408) 384-3758
Quick Facts
- NPI
- 1144759085
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 9
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