Individual
MR. KENT A. RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3510 N RIDGE RD, SUITE 900, WICHITA, KS 67205-1224
(316) 773-0412
Mailing address
7061 MARK TWAIN DR, DERBY, KS 67037-4119
(316) 788-0334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9107
KS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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