Richmond, Kent A.

Richmond, Kent A. is an individual health care provider with primary practice located at 2110 Fox Dr , Champaign IL 61820-7553. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Richmond, Kent A. can be contacted via phone (217) 366-1323.

Contact Information

Primary practice address
2110 Fox Dr Champaign IL 61820-7553
Phone: (217) 366-1323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-003703 Illinois

Profile Details

NPI number 1962410282
LBN Legal business name Richmond, Kent A.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Dec 12th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962410282 NPPES
Illinois Other 205364 MEDICARE GROUP
Illinois Other P00328904 MEDICARE GROUP

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