Healthcare Provider Details

I. General information

NPI: 1699115394
Provider Name (Legal Business Name): ABBY E RICHARDSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY E. RICHARDSON MD

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 E 25TH ST STE 5
KEARNEY NE
68847-5511
US

IV. Provider business mailing address

620 E 25TH ST
KEARNEY NE
68847-5506
US

V. Phone/Fax

Practice location:
  • Phone: 83-865-2767
  • Fax: 308-865-2765
Mailing address:
  • Phone: 308-865-2767
  • Fax: 308-865-2765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33840
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: