NPI 1003628702
Kiama Miracle Richardson
Practice location
- Address
- 1234 N Notre Dame Ave, South Bend, IN 46617-1404
- Phone
- (574) 904-9549
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003628702
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Jan 2025
- Record last updated
- 21 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.