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NPI Code Detail

MEDICARE: DR. KARL E. RICHEY M.D.

MEDICARE: DR. KARL E. RICHEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianMD-11527HI
2207P00000XEmergency Medicine PhysicianMD34402WA
3207P00000XEmergency Medicine Physician2644AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD34402OTHERWASTATE MEDICAL LICENSE
22644OTHERAKSTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1164428371
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARL E. RICHEY M.D.
Provider Business Mailing Address
First Line : 161 HALONA ST
Second Line :
City : KIHEI
State : HI
Zip : 96753-8523
Country : US
Telephone Number : 808-268-8517
Fax Number : 808-891-8279
Provider Business Practice Location Address
First Line : 3100 TONGASS AVE
Second Line :
City : KETCHIKAN
State : AK
Zip : 99901-5746
Country : US
Telephone Number : 907-225-5171
Fax Number : 907-228-8333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 09/11/2025

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