Search › Nebraska › 101YA0400X
Kenny Richardson, LADC
NPI 1801223110 · on the registry since 2013
Practice
- Address
- 130 N 39th St
Omaha, NE 68131 - Phone
- (402) 558-7088
- Fax
- (402) 558-7133
- Organisation at this address
- Santa Monica
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska