Kelly Richardson in Wyoming - Internal Medicine
Kelly Richardson - NPI 1548278971
Kelly Richardson is a Internal Medicine in Wyoming, Michigan. Kelly Richardson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kelly Richardson is 1548278971. The last update date is 2011-10-18.
Kelly Richardson's current location address is 1200 56th St Sw, Wyoming, Michigan. You can contact this provider via phone number 6162435707 and fax number 6162431170. The mailing address for Kelly Richardson is 1200 56th St Sw, Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly Richardson |
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Address | 1200 56th St Sw, Wyoming, Michigan |
Phone Number | 6162435707 |
Fax Number | 6162431170 |
Sole Proprietor | N |
Credentials | MD05/ |
NPI Number Detail
NPI Number | 1548278971 |
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Provider Enumeration Date | 2006-08-03 |
Last Updated Date | 2011-10-18 |
Provider Mailing Address Detail
Address | 1200 56th St Sw |
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City | Wyoming |
State | Michigan (MI) |
Post Code | 495099704 |
Phone Number | 6162435707 |
Fax Number | 6162431170 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 4301079769 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
381360529 | MI | TAX ID |
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What is the unique 10-digit identifier code assigned to Kelly Richardson by the Centers for Medicare & Medicaid Services?
The Kelly Richardson has been issued the NPI (National Provider Identifier) 1548278971 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kelly Richardson located?
The Kelly Richardson is located at 1200 56Th St Sw, Wyoming, MI 495099704.
What is Kelly Richardson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly Richardson is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548278971 to Kelly Richardson?
The Kelly Richardson received its 1548278971 assignment from the Centers for Medicare & Medicaid Services on 2006-08-03.
When was the information related to Kelly Richardson most recently updated or refreshed?
The details pertaining to the Kelly Richardson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-18.
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