Individual
KAYNIN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
1708 W GREENLEAF DR, TUCSON, AZ 85746-3203
(520) 207-8130
(520) 750-0056
Mailing address
1708 W GREENLEAF DR, TUCSON, AZ 85746-3203
(520) 207-8130
(520) 750-0056
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1903197
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1903197
AHCCCS
AZ
Enumeration date
11/30/2009
Last updated
11/30/2009
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