NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ETHAN C RICHARD, D.O,M.S.
23401 PRAIRIE STAR PKWY
SUITE 245
LENEXA, KS66227-7268
 Phone: 913-676-8630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ETHAN C RICHARD · (Male)

NPI Number 1962439109
Credentials D.O,M.S.
Entity Individual
Enumeration date 06/26/2006
Last updated 07/16/2013 - About 3 years ago
Sole proprietor 1 No
Identifiers
MO License # 2006025644
MO Other 2006025644 LICENSE
MO Other MA1297008 MEDICARE
Hospital affiliation(s)
  • SHAWNEE MISSION MEDICAL CENTER - (Acute Care)
    9100 W 74TH STREET
    SHAWNEE MISSION, KS 66204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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