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Individual

KATHY A RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 935-8200
(731) 935-8327
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-8759

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95584
TN

Other

Enumeration date
08/30/2006
Last updated
08/11/2009
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