Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Michael Richardson, DO

Individual provider Family Medicine Physician · NPI 1689136897

Dr. Kevin Michael Richardson, DO is a Family Practice in Glasgow, Kentucky. Qualified in 2019, 7 years ago. Practices with Concord Medical Group of Kentucky PLLC, a 79-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone: (270) 659-5870
Fax: (270) 659-5851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 05121 (KY)

Record details

NPI number1689136897
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023
Mailing address310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Concord Medical Group Of Kentucky Pllc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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