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Individual
DR. KENNETH J RICHTER
Active
Individual
DR. KENNETH J RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
5101007564
MI
208100000X
Physical Medicine & Rehabilitation Physician
5101007564
MI
2081P0004X
Spinal Cord Injury Medicine Physician
5101007564
MI
2081P0010X
Pediatric Rehabilitation Medicine Physician
5101007564
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
5101007564
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
5101007564
MI
208VP0000X
Pain Medicine Physician
5101007564
MI
208VP0014X
Interventional Pain Medicine Physician
5101007564
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2905041 TYPE 11
—
MI
Enumeration date
06/07/2006
Last updated
07/03/2019
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