| Dr Kenneth Max Richards, MD | |
|
1800 15th St, Suite 340, Greeley, CO 80631-4500 | |
| (970) 378-4593 | |
| Not Available |
| Full Name | Dr Kenneth Max Richards |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 1800 15th St, Greeley, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083689376 | NPI | - | NPPES |
| 68738030 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 31556 (Colorado) | Primary |
| Entity Name | Banner Health Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
| Entity Name | Banner Hospital Based Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154679637 PECOS PAC ID: 6800031386 Enrollment ID: O20130404000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Max Richards, MD 1905 19th Ave, Greeley, CO 80631-5209 Ph: (970) 352-0405 | Dr Kenneth Max Richards, MD 1800 15th St, Suite 340, Greeley, CO 80631-4500 Ph: (970) 378-4593 |
Dr. Gene Edward Tullis, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-2026 Fax: 970-810-2028 | |
Reed D Quinn, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: May Accept Medicare Assignments Practice Location: 1800 15th St Ste 340, Greeley, CO 80631 Phone: 970-810-4593 Fax: 970-810-4591 | |
Dr. Michael Phillip Robich, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1800 15th St Ste 340, Greeley, CO 80631 Phone: 970-810-4593 Fax: 970-810-4591 |