Individual
KENNETH M RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 BRECKENRIDGE LN, SUITE 1A, LOUISVILLE, KY 40220-2742
(502) 458-7400
(502) 458-7449
Mailing address
3101 BRECKENRIDGE LN, SUITE 1A, LOUISVILLE, KY 40220-2742
(502) 458-7400
(502) 458-7449
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24285
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050010569
RAILROAD MEDICARE
KY
01
—
100345450
INDIANA MEDICAID
IN
05
—
64242852
—
KY
Enumeration date
12/07/2005
Last updated
01/13/2009
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