Individual
DR. KENNETH ERWIN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7707
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7707
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
295555-1205
UT
Other
Enumeration date
02/06/2007
Last updated
03/04/2026
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