DR. KENNETH JOE RICHARDSON (NPI# 1861477127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861477127 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JOE RICHARDSON |
| Credential | MD |
| Practice Address |
1825 Park Place Montgomery AL 36117-3439 |
| Practice Telephone | 3342938747 |
| Practice Fax Number | 3348342185 |
| Mailing Telephone | 3342938747 |
| Mailing Fax Number | 3348342185 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2015-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
00019405 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000035670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487822169 | Kenneth Carnell Richardson | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2008-02-14 |
| 1992981047 | Kenneth Daniel Richardson | Dietetic Technician, Registered | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2008-01-18 |
| 1265571269 | Kenneth Erwin Richardson | Pediatrics | 1034 N 500 W, Neonatology, Provo, UT 84604-3380 | 2007-02-06 |
| 1053407585 | Kenneth E Richardson | Dentist | 2720 Overland Road, Boise, ID 83705 | 2006-10-04 |
| 1992807515 | Kenneth R Richardson | Anesthesiology | 2201 Wadsworth Blvd, Lakewood, CO 80214-5708 | 2006-09-03 |
| 1922059815 | Kenneth W. Richardson | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2006-05-15 |
| Street Address |
1825 PARK PLACE |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285697 | Paul A. Turner | Radiology | 1825 Park Place, Montgomery, AL 36106 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1770866444 | Lighthouse Physician Services, Pllc | Radiology | 427 Trace Way Dr, Montgomery, TX 77316-6852 | 2011-09-20 |
| 1174769871 | Telerad of Alabama Account Management | Radiology | 181 Tensaw Rd, Montgomery, AL 36117-4125 | 2008-12-30 |
| 1205808755 | Ross Barnett | Radiology | 7094 University Ct, Montgomery, AL 36117-6992 | 2006-02-07 |
| 1194700450 | Gary Wayne Scott | Radiology | 1825 Park Pl, Montgomery, AL 36106-1149 | 2005-12-09 |
| 1730173121 | Mary M Karst | Radiology | 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 | 2005-08-31 |
| 1750382883 | Mulberry Diagnostic Imaging | Radiology | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2005-08-10 |
| 1841696622 | Imi Radiology, Pllc | Radiology | 249 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2014-11-06 |
| 1932535556 | Hoover Radiology, LLC | Radiology | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2013-09-16 |
| 1427494855 | Dolphin Radiology Pllc | Radiology | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2013-05-13 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on DR. KENNETH JOE RICHARDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.