Individual
AMY KRISTINE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
16701 CLEVELAND ST STE C, REDMOND, WA 98052-0901
(425) 658-0658
(425) 658-5303
Mailing address
16701 CLEVELAND ST STE C, REDMOND, WA 98052-0901
(425) 658-0658
(425) 658-5303
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000741
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078791
—
WA
05
—
8349482
—
WA
01
—
CJ4574
RAILROAD MEDICARE GROUP
WA
01
—
P00035081
RAILROAD MEDICARE PROVIDER NUMBER
WA
Enumeration date
09/15/2005
Last updated
07/21/2022
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