Individual
MRS. KELLY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-1489
(662) 244-1016
Mailing address
PO BOX 415000 MSC 410502, NASHVILLE, TN 37241-0001
(662) 244-1088
(662) 244-2088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902283
MS
Other
Enumeration date
10/12/2017
Last updated
12/07/2017
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