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Individual

JAMES KERRY RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
314 COLUMBUS AVE NW, VERNON, AL 35592-5703
(205) 695-5111
(205) 695-5110
Mailing address
PO BOX 1641, VERNON, AL 35592-1641
(205) 695-5111
(205) 695-5110

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH 2757
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051524507
BLUE CROSS PROVIDER #
AL
01
51048213
BC/BS PROVIDER NUMBER
AL
Enumeration date
02/13/2007
Last updated
06/12/2025
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