Healthcare Provider Details

I. General information

NPI: 1821935214
Provider Name (Legal Business Name): KAREN D VIDAURRE-RICHARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 LIBERTY ST
BETHLEHEM PA
18018-5348
US

IV. Provider business mailing address

312 LIBERTY ST
BETHLEHEM PA
18018-5348
US

V. Phone/Fax

Practice location:
  • Phone: 484-635-6903
  • Fax:
Mailing address:
  • Phone: 484-635-6903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberSP034826
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: