Organization
K&G DEDICATED LONG-TERM CARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENRICK RICHARDSON MD (PRESIDENT/MD)
(513) 843-7632
Entity
Organization
Contact information
Practice address
2155 DANA AVE, CINCINNATI, OH 45207-1340
(513) 843-7716
(513) 718-3223
Mailing address
71 VISTA RIDGE DR, SOUTH LEBANON, OH 45065-8755
(513) 843-7716
(513) 718-3223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
03/14/2023
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