Individual
DR. KEVIN D RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2833 BABCOCK RD STE 306, SAN ANTONIO, TX 78229-4896
(210) 705-5060
Mailing address
PO BOX 781688, SAN ANTONIO, TX 78278-1688
(726) 223-9004
(210) 561-7240
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
P0785
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
P0785
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2007
Last updated
10/21/2024
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