Individual
DR. KEVIN MICHAEL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1318 HARRISON AVE, MCCOMB, MS 39648-2830
(601) 684-2300
(601) 684-2360
Mailing address
1318 HARRISON AVE, MCCOMB, MS 39648-2830
(601) 684-2300
(601) 684-2360
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17612
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126201
—
MS
05
—
1570591
—
LA
Enumeration date
09/22/2006
Last updated
01/05/2011
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