Individual
DR. JAMES KENNETH RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 W UNION ST, MARION, IL 62959-2464
(618) 997-4514
Mailing address
115 W UNION ST, MARION, IL 62959-2464
(618) 997-4514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019015152
IL
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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