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Organization

KINGDOM MEDICINE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONARD A RICHARDSON MD (OWNER)
(410) 861-8151
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
693604100
MD
Enumeration date
10/30/2007
Last updated
07/07/2024
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