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Individual
KENNETH EDWARD RICHARDS
Active
Individual
KENNETH EDWARD RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, DPT
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
2451
NC
225100000X
Physical Therapist
Primary
P15053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0833C
BC/BS
NC
Enumeration date
02/15/2008
Last updated
05/10/2016
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