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NPI Code Detail

MEDICARE: KHALA RICHARDS CH

MEDICARE:   KHALA  RICHARDS  CH
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
1111N00000XChiropractorCH15663FL

General Provider Information

NPI Number : 1215890140
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHALA RICHARDS CH
Provider Business Mailing Address
First Line : 9249 NELSON PARK CIR APT 303
Second Line :
City : ORLANDO
State : FL
Zip : 32817-4188
Country : US
Telephone Number : 941-769-4978
Fax Number :
Provider Business Practice Location Address
First Line : 9701 66TH ST N STE 9761
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33782-3008
Country : US
Telephone Number : 727-274-1553
Fax Number : 727-222-3669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ KHALA RICHARDS CH” Practice Location

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