Richardson, Kelly R.

Richardson, Kelly R. is an individual health care provider with primary practice located at 2501 Citico Ave , Chattanooga TN 37404-1127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Richardson, Kelly R. can be contacted via phone (423) 697-2000.

Contact Information

Primary practice address
2501 Citico Ave Chattanooga TN 37404-1127
Phone: (423) 697-2000
Fax: (423) 697-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 57951 Tennessee
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 57951 Tennessee

Profile Details

NPI number 1922184449
LBN Legal business name Richardson, Kelly R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Sep 21st, 2018 - about 8 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 1922184449 NPPES
Tennessee Other 57951 MEDICAL LICENSE

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