Provider Demographics
NPI:1649598061
Name:RICHARDS, KATHRYN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ELIZABETH
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:CENTER FOR CONNECTED CARE
Mailing Address - Street 2:6801 BRECKSVILLE RD
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131
Mailing Address - Country:US
Mailing Address - Phone:216-445-0624
Mailing Address - Fax:216-444-9464
Practice Address - Street 1:CENTER FOR CONNECTED CARE
Practice Address - Street 2:6801 BRECKSVILLE RD, SUITE 10/RK30
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131
Practice Address - Country:US
Practice Address - Phone:216-445-0624
Practice Address - Fax:216-444-9464
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.125736207R00000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine