Richardson, Kellie

Richardson, Kellie is an sole proprietor health care provider with primary practice located at 8402 Deerfield Drive , Parma OH 44129. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Richardson, Kellie can be contacted via phone (440) 429-6675.

Contact Information

Primary practice address
8402 Deerfield Drive Parma OH 44129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1700296589
LBN Legal business name Richardson, Kellie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2014
Last updated May 2nd, 2014 - about 10 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 1700296589 NPPES
Ohio MEDICAID 0054397

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