DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. KENRICK S. RICHARDSON MD

MEDICARE: DR. KENRICK S. RICHARDSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician35.075358OH
2207R00000XInternal Medicine Physician35-07-5358-ROH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295736049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENRICK S. RICHARDSON MD
Provider Business Mailing Address
First Line : 71 VISTA RIDGE DR
Second Line :
City : SOUTH LEBANON
State : OH
Zip : 45065-8755
Country : US
Telephone Number : 513-843-7632
Fax Number : 513-843-7945
Provider Business Practice Location Address
First Line : 2155 DANA AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1340
Country : US
Telephone Number : 513-843-7716
Fax Number : 513-718-3223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 03/16/2022

Similar Medicare Providers

1629431374 — TAHIR KHAN
Practice Location Address:
2155 DANA AVE
CINCINNATI, OH
45207-1340
Practice Phone: 513-601-0600
Practice Fax:
1104211556 — DR. TRUONG QUANG BUI M.D.
Practice Location Address:
2155 DANA AVE
CINCINNATI, OH
45207-1340
Practice Phone: 513-601-0600
Practice Fax:
1245713023 — CAROLINE AYENIKA NFON RN
Practice Location Address:
2155 DANA AVE
CINCINNATI, OH
45207-1340
Practice Phone: 513-601-0600
Practice Fax:
1730735069 — K&G DEDICATED LONG-TERM CARE ASSOCIATES LLC
Practice Location Address:
2155 DANA AVE
CINCINNATI, OH
45207-1340
Practice Phone: 513-843-7716
Practice Fax: 513-718-3223
1013581107 — NICOLE ABIGAIL CORTES WRIGHT
Practice Location Address:
2155 DANA AVE
CINCINNATI, OH
45207-1340
Practice Phone: 513-601-0600
Practice Fax:
1326611542 — APRIL ONG VILLARTA
Practice Location Address:
2155 DANA AVE
CINCINNATI, OH
45207-1340
Practice Phone: 513-601-0600
Practice Fax:

Directions to “ DR. KENRICK S. RICHARDSON MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.