Kimberly Dawn Richardson, LPN is a
Licensed Practical Nurse based in Midwest City, Oklahoma. Kimberly Dawn Richardson is licensed to practice in Oklahoma (license number 58407) and her current practice location is
9213 Ne 10th St, Midwest City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 264-7627.
NPI number for Kimberly Dawn Richardson is 1568028355 and her current mailing address is 9213 Ne 10th St, Midwest City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568028355.
Provider's Profile
| Full Name | Kimberly Dawn Richardson |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 9213 Ne 10th St, Midwest City, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568028355
- Provider Enumeration Date: 05/16/2019
- Last Update Date: 05/16/2019
Medical Identifiers
Medical identifiers for Kimberly Dawn Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568028355 | NPI | - | NPPES |
| 463977830 | Other | OK | ADULT DAY HEALTH CENTER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 58407 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Dawn Richardson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Dawn Richardson, LPN
9213 Ne 10th St,
Midwest City, OK 73130-1317
Ph: (405) 264-7627 | Kimberly Dawn Richardson, LPN
9213 Ne 10th St,
Midwest City, OK 73130-1317
Ph: (405) 264-7627 |
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