Richardson, Kendall

Richardson, Kendall is an individual health care provider with primary practice located at 228 Meadow St Suite 201, Waterbury CT 06702-1807. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Richardson, Kendall can be contacted via phone (203) 597-0643.

Contact Information

Primary practice address
228 Meadow St Suite 201 Waterbury CT 06702-1807
Phone: (203) 597-0643
Fax: (203) 597-0834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000483 Connecticut

Profile Details

NPI number 1730251240
LBN Legal business name Richardson, Kendall
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Dec 14th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730251240 NPPES
Connecticut MEDICAID 008017939

Popular Providers