Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RICHARDSON, MD05/
ActiveAllergy & Immunology · WYOMING, MI
Registration Details
- NPI Number
- 1548278971
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2006 (19.718576224193 yrs)
- Last Updated
- Oct 18, 2011
- Licenses
-
4301079769 (MI)4301079769 (MI)
Practice Information
- Address
-
1200 56TH ST SWWYOMING, MI, 495099704Browse MI providers · Browse ZIP 49509
- Phone
- 6162435707
- Fax
- 6162431170
- Primary Specialty
-
Allergy & Immunology
207RA0000X
- Additional Specialty
- Allergy & Immunology
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.