Dr. Kenneth J Richter
Sports Medicine Doctor Physical Medicine & Rehabilitation Doctor Pain Medicine Sports Medicine
34505 West 12 Mile Rd Suite 100
Farmington Hills
, Michigan 48331
Dr. Kenneth J Richter
Sports Medicine Doctor Physical Medicine & Rehabilitation Doctor Pain Medicine Sports Medicine
34505 West 12 Mile Rd Suite 100
Farmington Hills
, Michigan 48331
(312) 957-9991
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About
Features
Specialties
- Sports Medicine Doctor
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Kenneth J Richter
- 34505 West 12 Mile Rd Suite 100
- Farmington Hills, MI
- Zip : 48331
- Fax : (312) 957-9991
- Phone : (734) 343-7500
Second Address
- Dr. Kenneth J Richter
- 34505 West 12 Mile Rd Suite 100
- Farmington Hills, MI
- Zip : 48331
- Fax : (312) 957-9991
- Phone : (734) 343-7500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 5101007564 | MI |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 5101007564 | MI |
| N | 2081P2900X | Pain Medicine | 5101007564 | MI |
| N | 2081S0010X | Sports Medicine | 5101007564 | MI |
| N | 213ES0000X | Sports Medicine | 5101007564 | MI |
National Provider Identifier
| NPI | 1033159132 |
|---|---|
| Provider Name | Dr. Kenneth J Richter |
| First Address | Farmington Hills, MI 48331 |
| Second Address | Farmington Hills, MI 48331 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2006 |
| Last Update Date | 03/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2905041 TYPE 11 | (05) | MI |
| A79943 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.