Search › Missouri › 363L00000X
Renae Richardson
NPI 1659045847 · on the registry since 2021
Practice
- Address
- 11863 State Highway 13
Kimberling City, MO 65686 - Phone
- (417) 739-1995
- Organisation at this address
- Fordland Clinic, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-20
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 Missouri