Individual
DR. KATHY WRAY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 N ELAM AVE STE 101, GREENSBORO, NC 27403-1142
(336) 854-8800
(336) 299-4308
Mailing address
510 N ELAM AVE STE 101, GREENSBORO, NC 27403-1142
(336) 854-8800
(336) 299-4308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200001264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-127EN
—
NC
Enumeration date
09/26/2006
Last updated
02/03/2014
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