Individual
DR. PENNY LYNN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
330 FORT ZUMWALT SQ, O FALLON, MO 63366-3065
(636) 379-1112
(636) 272-5843
Mailing address
8471 MEXICO RD, SAINT PETERS, MO 63376-1103
(636) 379-1112
(636) 272-5843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006702
MO
Other
Enumeration date
01/03/2007
Last updated
01/23/2020
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