Individual
KATHERINE LILY RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
405 TALLMADGE RD, STE 120, CUYAHOGA FALLS, OH 44221-3342
(330) 475-7535
(330) 848-2332
Mailing address
405 TALLMADGE RD, STE 120, CUYAHOGA FALLS, OH 44221-3342
(330) 475-7535
(330) 848-2332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006407R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215720
ANTHEM
OH
05
—
0346512
—
OH
01
—
101199
KAISER PERMANENTE
OH
01
—
513
SUMMA
OH
01
—
P00051741
RAILROAD MEDICARE
OH
Enumeration date
06/10/2005
Last updated
09/18/2007
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