Provider Demographics
NPI:1518055094
Name:RICHARDS, KATHY CULPEPPER (RNP, MS, PHD, DABSM)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:CULPEPPER
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:RNP, MS, PHD, DABSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10450 RIVERCREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212
Mailing Address - Country:US
Mailing Address - Phone:501-217-4000
Mailing Address - Fax:501-257-2501
Practice Address - Street 1:2200 FORT ROOTS DR # DR/3JNLR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-2044
Practice Address - Fax:501-257-2501
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPO1620163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology