# KINGDOM MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134308802
- **Authorized official:** DR. LEONARD A RICHARDSON MD (OWNER)
- **Authorized official phone:** (410) 861-8151

## Contact information

- **Practice address:** 2926 BALTIMORE BLVD STE D, FINKSBURG, MD 21048-1832
- **Practice address phone:** (410) 861-8151
- **Practice address fax:** (443) 445-4111
- **Mailing address:** 8401 SUMMIT AVE, WINDSOR MILL, MD 21244-1169
- **Mailing address phone:** (410) 381-8078
- **Mailing address fax:** (443) 445-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 07/07/2024