Individual
MR. KEVIN DANIEL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-5555
Mailing address
649 E 14TH ST APT 10C, NEW YORK, NY 10009-3115
(417) 766-7080
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432937
NY
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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