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Contact Information

KELLY G RICHARDSON, DNP
5616 COPPER CRK
NEW BRAUNFELS, TX78132-3921
 Phone: 210-386-8940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Psychiatric/Mental Health, Geropsychiatric

364SP0813X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for KELLY G RICHARDSON · (Female)

NPI Number 1306167879
Status Active
Credentials DNP
Entity Individual
Enumeration date 06/18/2010
Last updated 08/24/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 2010007126
  • TX License # 2013010497
  • TX License # 2021032810
  • TX License # 636991
  • TX Medicaid 1306167879
Hospital affiliation(s)
  • GUADALUPE REGIONAL MEDICAL CENTER - (Acute Care)
    1215 E COURT ST
    SEGUIN, TX 78155
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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