Individual
KATHLEEN JEANNETTE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP - FNP
Contact information
Practice address
1720 E 67TH ST STE 119, TACOMA, WA 98404-4223
(253) 212-0202
(253) 212-0962
Mailing address
MADIGAN ARMY MEDICAL CTR, 9040 REID ST. ATTN: MCHJ-QCR, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075947
—
WA
05
—
2086163
—
WA
Enumeration date
07/26/2006
Last updated
01/09/2021
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