Individual
PERRY KIMBALL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, SUITE 9-400, WASHINGTON, DC 20037-3201
(202) 741-2700
Mailing address
2150 PENNSYLVANIA AVE NW, SUITE 9-400, WASHINGTON, DC 20037-3201
(202) 741-2700
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
21085753
DC
2084N0600X
Clinical Neurophysiology Physician
Primary
D21085
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007103255
—
VA
05
—
028708300
—
DC
05
—
205571600
—
MD
Enumeration date
02/13/2006
Last updated
08/09/2021
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