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Contact Information

KENRICK S RICHARDSON, MD
2155 DANA AVE
CINCINNATI, OH45207-1340
 Phone: 513-843-7716
 Fax: 513-718-3223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for KENRICK S RICHARDSON · (Male)

NPI Number 1295736049
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2005
Last updated 03/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-07-5358-R
  • OH License # 35.075358
  • OH Medicaid 2265945
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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