Individual
KRISTEN ANNE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9850 GENESEE AVE, SUITE 460, LA JOLLA, CA 92037-1228
(858) 362-8800
(858) 362-8803
Mailing address
9850 GENESEE AVE STE 460, LA JOLLA, CA 92037-1228
(858) 362-8800
(858) 362-8803
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A74648
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A74648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A74648
MEDICAL LICENSE
CA
Enumeration date
08/14/2006
Last updated
03/08/2010
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