Individual
DR. KURT ALLEN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6294 LAKESHORE RD, BURTCHVILLE, MI 48059-2553
(517) 282-6453
Mailing address
6294 LAKESHORE RD, BURTCHVILLE, MI 48059-2553
(517) 282-6453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3355500
—
MI
Enumeration date
04/14/2006
Last updated
10/27/2022
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