NPI 1083689376

Kenneth Max Richards, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Greeley, CO

Practice location

Address: 1800 15th St Suite 340, Greeley, CO 80631-4500
Phone: (970) 378-4593
Mailing address: 1905 19th Ave, Greeley, CO 80631-5209

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 31556 (CO)

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Registry record

NPI: 1083689376
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2006
Record last updated: 17 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.