Richardson, Katherine Marie

Richardson, Katherine Marie is an individual health care provider with primary practice located at 200 Patewood Drive Suite A200 , Greenville SC 29615-3580. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Richardson, Katherine Marie can be contacted via phone (864) 454-5130.

Contact Information

Primary practice address
200 Patewood Drive Suite A200 Greenville SC 29615-3580
Phone: (864) 454-5130
Fax: (864) 241-9202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD82552 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2016011684 Missouri
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 82552 South Carolina

Profile Details

NPI number 1124466164
LBN Legal business name Richardson, Katherine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated May 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124466164 NPPES
South Carolina MEDICAID 825520

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