Individual
MRS. KIMBERLY M RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
255 N MIAMI ST, WABASH, IN 46992-2705
(574) 267-7169
(260) 563-1902
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
(574) 267-7169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013493A
IN
Other
Enumeration date
01/23/2023
Last updated
01/21/2025
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