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Individual

KATHLEEN RENEE RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.32648
AL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
2018-02777
NC
208000000X
Pediatrics Physician
MD.32648
AL

Other

Enumeration date
04/23/2012
Last updated
02/02/2021
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