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Keenan Glen Richardson, MD
Pediatrics Physician in Minnetonka, Minnesota
NPI 1700858800

Keenan Glen Richardson is a Pediatrics Physician based in Minnetonka, MN. Keenan Glen Richardson practices in Minnetonka, MN and has the professional credentials of MD. The NPI Number for Keenan Glen Richardson is 1700858800 and holds a License No. 27968 (Minnesota).

The current practice location address for Keenan Glen Richardson is 17705 Hutchins Dr, Minnetonka, MN and can be reached out via phone at 952-401-8300.

Location: 17705 Hutchins Dr, Minnetonka, MN, 55345-4102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700858800
Provider Name
Keenan Glen Richardson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17705 Hutchins Dr, Minnetonka, MN, 55345-4102
Phone Number
952-401-8300
Fax Number
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP9040209014 01 MN PREFERREDONE
114509 01 MN UCARE
020K3RI 01 MN BCBSOFMN
1200786 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
17705 Hutchins Dr
City
Minnetonka
State
Minnesota
Zip
55345-4145
Phone Number
952-401-8300
Fax Number
person
Provider Business Mailing Address Details
Address
17705 Hutchins Dr
City
Minnetonka
State
Minnesota
Zip
55345-4145
Phone Number
952-401-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
27968 (Minnesota)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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