Richardson, Kathie Denise

Richardson, Kathie Denise is an sole proprietor health care provider with primary practice located at S75W31046 Florence Ct , Mukwonago WI 53149-9215. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Richardson, Kathie Denise can be contacted via phone (262) 363-3043.

Contact Information

Primary practice address
S75W31046 Florence Ct Mukwonago WI 53149-9215
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 108060 Wisconsin

Profile Details

NPI number 1417003716
LBN Legal business name Richardson, Kathie Denise
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2007
Last updated Jul 8th, 2007 - about 17 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 1417003716 NPPES
Wisconsin MEDICAID 39855100

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