Richardson, Kevin A
Richardson, Kevin A is an individual health care provider with primary practice located at 502 Elm St Ne , Albuquerque NM 87102-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Richardson, Kevin A can be contacted via phone (505) 841-1000.Contact Information
Primary practice address
502 Elm St Ne
Albuquerque NM 87102-2512
Phone: (505) 841-1000
Fax: (505) 843-2592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 2001-290 | New Mexico |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036125892 | Illinois |
Profile Details
| NPI number | 1861496762 |
|---|---|
| LBN Legal business name | Richardson, Kevin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jan 8th, 2016 - about 9 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 | 1861496762 | NPPES |
| New Mexico | MEDICAID | J1459 | |
| New Mexico | Other | 01618941 | |
| New Mexico | MEDICAID | 036125892 |
Popular Providers
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Henao, Esteban A
502 Elm St Ne , Albuquerque NM 87102-2512 -
Dietl, Charles
2Nd Ambulatory Care Ctr 2211 Lomas Blvd. Ne, Albuquerque NM 87131-0001 -
Gerety, Richard L.
502 Elm St Ne , Albuquerque NM 87102-2512 -
Booth, Dana Alexander
502 Elm St Ne , Albuquerque NM 87102-2512 -
Pett, Stuart
2Nd Ambulatory Care Ctr 2211 Lomas Blvd. Ne, Albuquerque NM 87131-0001 -
Yassin, Said
2Nd Ambulatory Care Ctr 2211 Lomas Blvd. Ne, Albuquerque NM 87131-0001 -
Castlemain, Brian D
502 Elm St Ne , Albuquerque NM 87102-2512 -
Talbot, William A
5400 Gibson Blvd Se , Albuquerque NM 87108