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General NPI Number Information
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NPI Number | 1518663640
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Entity Type | Individual
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Provider Name | KELLY RICHARDSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 10/17/2026
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Provider Practice Location Address
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Address Line | 9551 S UNIVERSITY BLVD
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-8117
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Country | US
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Telephone | 303-459-5639
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 932958
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City | CLEVELAND
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State | OH
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Zip | 44193-0028
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0998236-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1686207
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License Number State | CO
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