Individual provider · Type 1 NPI

Kenneth E. Richardson, DDS

General Practice Dentistry · Boise, ID

NPI number 1053407585 Active

About NPI 1053407585

Kenneth E. Richardson, DDS's National Provider Identifier is 1053407585, issued on Oct 4, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jul 9, 2007.