IndividualActive
Kenneth Richardson, MD, PHD
NPI 1265571269 · Neonatal-Perinatal Medicine Physician · Provo, UT
Provider details
- NPI number
- 1265571269
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 295555-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7707
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.