Richardson, Kevin

Richardson, Kevin is an individual health care provider with primary practice located at 2311 W El Segundo Blvd , Hawthorne CA 90250-3315. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Richardson, Kevin can be contacted via phone (323) 241-6730.

Contact Information

Primary practice address
2311 W El Segundo Blvd Hawthorne CA 90250-3315
Fax: (323) 756-1163
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 663729 California

Profile Details

NPI number 1235363524
LBN Legal business name Richardson, Kevin
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2009
Last updated May 14th, 2009 - 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 1235363524 NPPES
California Other 663729 CALIFORNIA BOARD OF REGISTERED NURSES

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