Whalio Doctors

NPI 1134799935

Kori Marie Richardson, RDH

Practitioner Dental Hygienist Goshen, IN

Practice location

Address
57250 Alpha Dr, Goshen, IN 46528-7804
Phone
(574) 875-3817
Mailing address
50782 Cobblestone Dr, Granger, IN 46530-1309

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 13008766A (IN)

Registry record

NPI
1134799935
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jun 2021
Record last updated
25 Jun 2021

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.