MEDICARE: KATHLEEN RICHMOND

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
1	133V00000X	Registered Dietitian	ND6285	FL

General Provider Information

NPI Number	:	1982573804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN RICHMOND

Provider Business Mailing Address
First Line	:	1602 BAY RD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-6808
Country	:	US
Telephone Number	:	941-400-2848
Fax Number	:	941-400-2848

Provider Business Practice Location Address
First Line	:	1602 BAY RD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-6808
Country	:	US
Telephone Number	:	941-400-2848
Fax Number	:	941-400-2848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	10/30/2025

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Directions to “ KATHLEEN RICHMOND ” Practice Location

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