Richardson, Kelly Golliher

Richardson, Kelly Golliher is an sole proprietor health care provider with primary practice located at 5616 Copper Crk , New Braunfels TX 78132-3921. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric, Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Adult Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Richardson, Kelly Golliher can be contacted via phone (210) 386-8940.

Contact Information

Primary practice address
5616 Copper Crk New Braunfels TX 78132-3921
Phone: (210) 386-8940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric 364SP0813X 2021032810 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 2010007126 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 636991 Texas
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 2013010497 Texas

Profile Details

NPI number 1306167879
LBN Legal business name Richardson, Kelly Golliher
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2010
Last updated Aug 24th, 2021 - about 5 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 1306167879 NPPES
Texas MEDICAID 1306167879

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