Richardson, Kathleen

Richardson, Kathleen is an individual health care provider with primary practice located at 311 S Clark St , Carroll IA 51401-3038. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Richardson, Kathleen can be contacted via phone (712) 792-3581.

Contact Information

Primary practice address
311 S Clark St Carroll IA 51401-3038
Phone: (712) 792-3581
Fax: (712) 792-2124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 77622 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G 052035 Iowa

Profile Details

NPI number 1659478899
LBN Legal business name Richardson, Kathleen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 23rd, 2011 - about 15 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 1659478899 NPPES
Iowa Other G 052035 IOWA LICENSE

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