Richardson, Kenrick S.

Richardson, Kenrick S. is an individual health care provider with primary practice located at 2155 Dana Ave , Cincinnati OH 45207-1340. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Richardson, Kenrick S. can be contacted via phone (513) 843-7716.

Contact Information

Primary practice address
2155 Dana Ave Cincinnati OH 45207-1340
Phone: (513) 843-7716
Fax: (513) 718-3223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.075358 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-07-5358-R Ohio

Profile Details

NPI number 1295736049
LBN Legal business name Richardson, Kenrick S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 16th, 2022 - about 3 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 1295736049 NPPES
Ohio MEDICAID 2265945

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