Richardson, Kathryn Arlene

Richardson, Kathryn Arlene is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Surgery, Shreveport LA 71103-4228. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Richardson, Kathryn Arlene can be contacted via phone (318) 813-2655.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Surgery Shreveport LA 71103-4228
Phone: (318) 813-2655
Fax: (318) 813-2673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 023198 Louisiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 023198 Louisiana
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 023198 Louisiana

Profile Details

NPI number 1326061953
LBN Legal business name Richardson, Kathryn Arlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 20th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326061953 NPPES
Louisiana MEDICAID 1495433

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