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Individual

KIMBERLY A RICHARDSON

Active
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Individual

KIMBERLY A RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD072499L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012799110001
—
PA
01
—
10435887
CAQH ID#
PA
01
—
1132457
AETNA HMO
PA
01
—
1736726
HIGHMARK BLUE SHIELD
PA
01
—
2403640000
AMERIHEALTH/INTERCOUNTY
PA
01
—
30025497
KEYSTONE MERCY
PA
01
—
7321274
AETNA PPO
PA
01
—
7709703
CIGNA HMO/PPO
PA
Enumeration date
06/07/2006
Last updated
01/23/2019
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