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Individual

DR. KENNETH ROY RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1003 FRED LAGRONE DR, CROSSETT, AR 71635-4546
(870) 364-3800
Mailing address
104 LAKEWOOD CT, CROSSETT, AR 71635-3922
(870) 415-8341

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E8766
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203261001
AR
Enumeration date
07/17/2007
Last updated
05/16/2023
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