Healthcare Provider Details

I. General information

NPI: 1639200025
Provider Name (Legal Business Name): KAROL ANNETTA RICHARDS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 TATE BLVD SE STE 182
HICKORY NC
28602-4042
US

IV. Provider business mailing address

915 TATE BLVD SE STE 182
HICKORY NC
28602-4042
US

V. Phone/Fax

Practice location:
  • Phone: 828-322-2005
  • Fax: 828-322-2159
Mailing address:
  • Phone: 828-322-2005
  • Fax: 828-322-2159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2010-00392
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2017034866
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2017034866
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: