Individual
DR. KENNETH A. RICHEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2610 TENDERFOOT HILL ST, COLORADO SPRINGS, CO 80906-3981
(719) 538-5727
(719) 226-8629
Mailing address
2610 TENDERFOOT HILL ST, COLORADO SPRINGS, CO 80906-3981
(719) 538-5727
(719) 226-8629
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27897
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01278977
—
CO
Enumeration date
11/15/2006
Last updated
08/09/2011
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