Individual
KELLI RENEE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
725 S LUDLOW ST, DAYTON, OH 45402-2610
(937) 208-8546
(937) 208-8845
Mailing address
725 S LUDLOW ST, DAYTON, OH 45402-2610
(937) 208-8546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.434909
OH
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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