Healthcare Provider Details

I. General information

NPI: 1518055094
Provider Name (Legal Business Name): KATHY CULPEPPER RICHARDS RNP, MS, PHD, DABSM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 FORT ROOTS DR # DR/3JNLR
NORTH LITTLE ROCK AR
72114-1709
US

IV. Provider business mailing address

10450 RIVERCREST DRIVE
LITTLE ROCK AR
72212
US

V. Phone/Fax

Practice location:
  • Phone: 501-257-2044
  • Fax: 501-257-2501
Mailing address:
  • Phone: 501-217-4000
  • Fax: 501-257-2501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberPO1620
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: