Richardson, Kimberly A

Richardson, Kimberly A is an individual health care provider with primary practice located at 210 Mall Blvd Ste 102, King Of Prussia PA 19406-3260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Richardson, Kimberly A can be contacted via phone (610) 265-0726.

Contact Information

Primary practice address
210 Mall Blvd Ste 102 King Of Prussia PA 19406-3260
Phone: (610) 265-0726
Fax: (610) 265-3132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD072499L Pennsylvania

Profile Details

NPI number 1215977293
LBN Legal business name Richardson, Kimberly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 23rd, 2019 - about 7 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 1215977293 NPPES
Pennsylvania Other 7321274 AETNA PPO
Pennsylvania MEDICAID 1012799110001 AETNA PPO
Pennsylvania Other 1132457 AETNA PPO
Pennsylvania Other 30025497 AETNA PPO
Pennsylvania Other 2403640000 AETNA PPO
Pennsylvania Other 7709703 AETNA PPO
Pennsylvania Other 1736726 AETNA PPO
Pennsylvania Other 10435887 AETNA PPO
Pennsylvania Other 2403640000 AETNA PPO

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