Individual
KRISTIN BLAND RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-8015
Mailing address
4 ORCHARD AVE, MURRELLS INLET, SC 29576-6296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
SC
Other
Enumeration date
04/23/2010
Last updated
11/07/2013
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