Individual
DR. KENNETH JOE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 PARK PLACE, MONTGOMERY, AL 36117-3439
(334) 293-8747
(334) 834-2185
Mailing address
1825 PARK PLACE, MONTGOMERY, AL 36117-3439
(334) 293-8747
(334) 834-2185
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00019405
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000035670
—
AL
Enumeration date
12/09/2005
Last updated
06/01/2023
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