Individual
MS. RINATA KAYE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
Mailing address
PO BOX 1300, WINNSBORO, LA 71295-1300
(318) 435-9411
(318) 389-4028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208167
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13625215
CAQH
—
05
—
2189107
—
LA
01
—
P02474703
RR MEDICARE
LA
Enumeration date
04/11/2012
Last updated
04/07/2021
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