Individual
DR. KENNETH MAX RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 15TH ST, SUITE 340, GREELEY, CO 80631-4500
(970) 378-4593
Mailing address
1905 19TH AVE, GREELEY, CO 80631-5209
(970) 352-0405
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
31556
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68738030
—
CO
Enumeration date
02/21/2006
Last updated
03/17/2009
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