Individual
MRS. AUTUMN ZEA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
350 HOSPITAL WAY, SOMERSET, KY 42503-2872
(606) 451-2600
Mailing address
941 ELIHU RUSH BRANCH RD, SOMERSET, KY 42501-5811
(606) 416-8487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007999
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007999
3007999 KBN
KY
Enumeration date
04/06/2013
Last updated
04/06/2013
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