Individual
MR. KEVIN MATTHEW RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4000 JOHNSON RD, STEUBENVILLE, OH 43952-2300
(740) 264-8000
Mailing address
380 SUMMIT AVE, STEUBENVILLE, OH 43952-2667
(740) 283-7597
(740) 283-7608
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.12116
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3143020
—
OH
05
—
3810019608
—
WV
01
—
7424541
PALMETTO GBA MEDICARE
WV
Enumeration date
01/12/2011
Last updated
04/07/2022
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