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NPI Code Detail

MEDICARE: MRS. KIMBERLY ANN RICHARDS M.ED., OTR/L

MEDICARE: MRS. KIMBERLY ANN RICHARDS M.ED., OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT4835OH

General Provider Information

NPI Number : 1164824702
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY ANN RICHARDS M.ED., OTR/L
Provider Business Mailing Address
First Line : 2651 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2551
Country : US
Telephone Number : 513-363-0000
Fax Number :
Provider Business Practice Location Address
First Line : 2651 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2551
Country : US
Telephone Number : 513-363-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2014
Last Update Date : 09/25/2014

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