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Individual

DR. KEVIN MICHAEL RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5870
(270) 659-5851
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5870
(270) 659-5851

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05121
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100805120
KY
Enumeration date
04/05/2019
Last updated
07/13/2023
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