Richardson, Katonna
Richardson, Katonna is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Richardson, Katonna can be contacted via phone (314) 577-5631.Contact Information
Primary practice address
1465 S Grand Blvd
Saint Louis MO 63104-1003
Phone: (314) 577-5631
Fax: (314) 268-6474
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 069735 | Missouri |
Profile Details
NPI number | 1902929896 |
---|---|
LBN Legal business name | Richardson, Katonna |
Credentials | RN, NNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 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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