NPI 1952838146

Kadijah Bernice Richardson

Practitioner Other Technician Jacksonville, AR

Practice location

Address: 2227 W Main St STE 3, Jacksonville, AR 72076-4251
Phone: (501) 985-9944

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 247200000X (AR)

Other Technician, Other providers in Arkansas →

Registry record

NPI: 1952838146
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2017
Record last updated: 21 Jul 2022

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.