Richardson, Kirk Justin
Richardson, Kirk Justin is an individual health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Richardson, Kirk Justin can be contacted via phone (928) 779-3366.Contact Information
Primary practice address
1200 N Beaver St
Flagstaff AZ 86001-3118
Phone: (928) 779-3366
Fax: (928) 214-2925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | BP10063869 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 67220 | Arizona |
Profile Details
| NPI number | 1316434103 |
|---|---|
| LBN Legal business name | Richardson, Kirk Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2018 |
| Last updated | Oct 3rd, 2022 - about 4 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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