# DR. KELLY GOLLIHER RICHARDSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1306167879
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 2013010497 | TX | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 2010007126 | TX | — |
| 363L00000X | Nurse Practitioner | 636991 | TX | Yes |
| 364SP0813X | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist | 2021032810 | TX | — |

## Other

- **Enumeration date:** 06/18/2010
- **Last updated:** 08/24/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1306167879 | — | TX |