Kimberly Ruth Richardson

NPI #1609273358 in Altus, Oklahoma

Provider Information

NPI Number: 1609273358
Entity Type: Individual
Name: Kimberly Ruth Richardson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Nov 24, 2014
Last Updated: Nov 24, 2014

Practice Location

Address: 1012 E CHERRY ST
City: Altus
State: Oklahoma
ZIP Code: 73521-6402
Phone: (580) 471-6332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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