Richardson, Kelly R.
Richardson, Kelly R. is an individual health care provider with primary practice located at 2501 Citico Ave , Chattanooga TN 37404-1127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Richardson, Kelly R. can be contacted via phone (423) 697-2000.Contact Information
Primary practice address
2501 Citico Ave
Chattanooga TN 37404-1127
Phone: (423) 697-2000
Fax: (423) 697-2118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 57951 | Tennessee |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 57951 | Tennessee |
Profile Details
| NPI number | 1922184449 |
|---|---|
| LBN Legal business name | Richardson, Kelly R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Sep 21st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922184449 | NPPES |
| Tennessee | Other | 57951 | MEDICAL LICENSE |
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