Kenneth E Richardson in Boise - General Practice
Kenneth E Richardson - NPI 1053407585
Kenneth E Richardson is a General Practice in Boise, Idaho. Kenneth E Richardson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth E Richardson is 1053407585. The last update date is 2007-07-09.
Kenneth E Richardson's current location address is 2720 Overland Road, Boise, Idaho. You can contact this provider via phone number 2083455875 and fax number 2083458412. The mailing address for Kenneth E Richardson is 2720 Overland Road, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth E Richardson |
|---|---|
| Address | 2720 Overland Road, Boise, Idaho |
| Phone Number | 2083455875 |
| Fax Number | 2083458412 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1053407585 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2720 Overland Road |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 83705 |
| Phone Number | 2083455875 |
| Fax Number | 2083458412 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D1383 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D1383 | ID | IDAHO STATE LICENSE |
Post Comment/ Review Below
What is the Kenneth E Richardson's 1053407585?
The Kenneth E Richardson's NPI (National Provider Identifier) Number is 1053407585. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenneth E Richardson is geographically located?
The Kenneth E Richardson is physically situated at the following location: 2720 Overland Road, Boise, ID, 83705.
What is Kenneth E Richardson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth E Richardson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Kenneth E Richardson receive its 1053407585 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth E Richardson was assigned its 1053407585 by the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information regarding Kenneth E Richardson most recently updated?
The details pertaining to the Kenneth E Richardson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.