Richards, Kenneth Roy
Richards, Kenneth Roy is an individual health care provider with primary practice located at 1003 Fred Lagrone Dr , Crossett AR 71635-4546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Richards, Kenneth Roy can be contacted via phone (870) 364-3800.Contact Information
Primary practice address
1003 Fred Lagrone Dr
Crossett AR 71635-4546
Phone: (870) 364-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E8766 | Arkansas |
Profile Details
| NPI number | 1710186945 |
|---|---|
| LBN Legal business name | Richards, Kenneth Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | May 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710186945 | NPPES |
| Arkansas | MEDICAID | 203261001 |
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