Provider Demographics
NPI:1811187446
Name:RICHARDS, KARLI CATHERINE (DPM)
Entity Type:Individual
Prefix:DR
First Name:KARLI
Middle Name:CATHERINE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:144 S 8TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2755
Mailing Address - Country:US
Mailing Address - Phone:717-414-7798
Mailing Address - Fax:717-414-7942
Practice Address - Street 1:144 S 8TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2755
Practice Address - Country:US
Practice Address - Phone:717-414-7798
Practice Address - Fax:717-414-7942
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASCOO5932213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102131443Medicaid
PA130388Medicare PIN