Individual
KEARSTYN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PROFESSIONAL PL, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Mailing address
47 DOGWOOD LN, FAIRMONT, WV 26554-7432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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