Individual
KYLE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(575) 542-2369
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(575) 542-2369
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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