| Doctor Name: | DR. KENNETH J RICHTER |
| NPI Number: | 1033159132 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101007564 |
| Business Practice Address: | 44555 Woodward Ave Suite 302 Pontiac, MI - 483415031 |
| Business Phone Number: | 2488583949 |
| Business Fax Number: | 2488583929 |
| Mailing Address: | 44555 Woodward Ave, Suite 302 PONTIAC |
| State: | MI |
| Postal Code: | 483415031 |
| Phone Number: | 2488583949 |
| Fax Number: | 2488583929 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 08/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 5101007564 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |