Individual
DR. KENRICK S. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2155 DANA AVE, CINCINNATI, OH 45207-1340
(513) 843-7716
(513) 718-3223
Mailing address
71 VISTA RIDGE DR, SOUTH LEBANON, OH 45065-8755
(513) 843-7632
(513) 843-7945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-5358-R
OH
208M00000X
Hospitalist Physician
35.075358
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2265945
—
OH
Enumeration date
08/02/2005
Last updated
03/16/2022
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