| Dr Kenneth Erwin Richardson, MD, PHD | |
|
1034 N 500 W, Provo, UT 84604-3380 | |
| (801) 357-7707 | |
| Not Available |
| Full Name | Dr Kenneth Erwin Richardson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 1034 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265571269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 295555-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Erwin Richardson, MD, PHD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 357-7707 | Dr Kenneth Erwin Richardson, MD, PHD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7707 |
Dr. Joshua Darrell Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604 Phone: 801-377-8000 |
Jordan Gaudio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-1700 |
Danielle Elise Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411 |
Leslie Mark Lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7707 |
Bradley Wayne Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N University Ave, #210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811 |
Dr. Matthew Joseph Clayton, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604 Phone: 801-377-4800 Fax: 801-377-4041 |
Benjamin Harlan Hammond, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 702, Provo, UT 84604 Phone: 801-357-1700 Fax: 801-357-1709 |