Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BAXTER KEY RICHARDSON IV, MD
Active Sole ProprietorDR. BAXTER KEY RICHARDSON IV, MD is a Diagnostic Radiology healthcare provider located in JACKSON, California. NPI 1306109905 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · JACKSON, CA
Registration Details
- NPI Number
- 1306109905
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2012 (14.168490029881 yrs)
- Last Updated
- Jun 9, 2022
- Licenses
-
R9512 (IA)A148942 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 MISSION BLVDJACKSON, CA, 956422564Browse CA providers · Browse ZIP 95642
- Phone
- 2092237560
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in JACKSON, CA
| Name | Credential | NPI |
|---|---|---|
| SEAN KELLEY | M.D. | 1194144170 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.