Search › Michigan › 207RA0000X
Kelly Richardson, MD05/
NPI 1548278971 · on the registry since 2006
Practice
- Address
- 1200 56th St Sw
Wyoming, MI 49509 - Phone
- (616) 243-5707
- Fax
- (616) 243-1170
- Organisation at this address
- Brookville Pediatric & Internal Medicine, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207RA0000X
207RA0000X
- Also registered as
- 207R00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan