Individual
MR. KIRK S RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
375 ROBERT M BELL PKWY, AIKEN, SC 29801-6385
(803) 641-3628
(803) 641-3441
Mailing address
111 JOSHUA LN, AIKEN, SC 29801-1712
(540) 309-6029
(803) 641-3441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1086
SC
Other
Enumeration date
08/19/2013
Last updated
08/20/2013
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