Richard Kenton Plourde JR., C PED

NPI #1184194847 in Charlottesville, Virginia

Provider Information

NPI Number: 1184194847
Entity Type: Individual
Name: Richard Kenton Plourde JR., C PED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pedorthist
Credential: C PED
Enumeration Date: Nov 26, 2018
Last Updated: Nov 26, 2018

Practice Location

Address: 1023 EMMET ST N
City: Charlottesville
State: Virginia
ZIP Code: 22903-4834
Phone: (434) 245-0205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pedorthist	224L00000X	Primary

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