Individual
MRS. KATHLEEN B RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
560 GUM SPRINGS RD, WINNFIELD, LA 71483
(318) 628-3971
(318) 648-6934
Mailing address
163 CARMANE RD, NATCHITOCHES, LA 71457-7703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP03702
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533432
—
LA
Enumeration date
08/15/2005
Last updated
07/09/2007
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