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1134699911
KENNETH RICHARDS
BOCA RATON, FL
NPI
1134699911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085006861)
Enumeration Date
2018-12-05
Last Update Date
2019-07-10
Business Address
KENNETH RICHARDS PA
1356 NW BOCA RATON BLVD
BOCA RATON, FL 33432-1609
Phone number: 864-625-3376
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Mailing Address
KENNETH RICHARDS PA
25012 DIANA CT
PLAINFIELD, IL 60544-7165
Phone number: 815-666-6114
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