James Kenneth Richey D.D.S.

NPI 1629227475 - Dentist - 122300000X

NPI Details
NPI 1629227475
Gender Male
Enumeration Date 09/17/2008
Last Updated 09/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
115 W UNION ST
MARION IL, 62959-2464, US
Phone (618) 997-4514
Fax
Business Location
115 W UNION ST
MARION IL, 62959-2464, US
Phone (618) 997-4514
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019015152
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According to our database, Dr. James Kenneth Richey D.D.S. NPI is 1629227475, taxonomy code is 122300000X and license number is 019015152, license state is located at Illinois. James Kenneth Richey D.D.S. physically located at 115 W Union St, Marion IL, 62959-2464. NPI Number James Kenneth Richey D.D.S. has the Individual type.

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1629227475 NPI number is provided on an as is basis without warranty of any kind. 1629227475 is maintained by the National Plan & Provider Enumeration System. The contents of James Kenneth Richey D.D.S. are for informational purposes only.