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Individual

KIMBERLY D RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-1997
Mailing address
3525 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3937
(614) 566-1997
(614) 566-1946

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
363L00000X
Nurse Practitioner
Primary
APRN.CNP.13764
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0072309
OH
Enumeration date
09/14/2012
Last updated
09/09/2025
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