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
Address 1200 56th St Sw, Wyoming, Michigan
Phone Number 6162435707
Fax Number 6162431170
Sole Proprietor N
Credentials MD05/

NPI Number Detail

NPI Number 1548278971
Provider Enumeration Date 2006-08-03
Last Updated Date 2011-10-18

Provider Mailing Address Detail

Address 1200 56th St Sw
City Wyoming
State Michigan (MI)
Post Code 495099704
Phone Number 6162435707
Fax Number 6162431170

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
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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FAQs about Kelly Richardson

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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