Richardson, Kim

Richardson, Kim is an sole proprietor health care provider with primary practice located at 2800 Peoples St Ste 90 , Johnson City TN 37604-4158. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Richardson, Kim can be contacted via phone (423) 928-0345.

Contact Information

Primary practice address
2800 Peoples St Ste 90 Johnson City TN 37604-4158
Phone: (423) 928-0345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 3764 Tennessee

Profile Details

NPI number 1811637713
LBN Legal business name Richardson, Kim
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2022
Last updated Mar 30th, 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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