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Organization
KINGDOM MEDICINE PA
Active
Organization
KINGDOM MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD A RICHARDSON MD (OWNER)
(410) 861-8151
Entity
Organization
Contact information
Practice address
2926 BALTIMORE BLVD STE D, FINKSBURG, MD 21048-1832
(410) 861-8151
(443) 445-4111
Mailing address
8401 SUMMIT AVE, WINDSOR MILL, MD 21244-1169
(410) 381-8078
(443) 445-4111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/30/2007
Last updated
07/07/2024
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