Provider Demographics
NPI:1942223623
Name:RICHTER, KAREN LYNNE (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNNE
Last Name:RICHTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 W FRIENDLY AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4368
Mailing Address - Country:US
Mailing Address - Phone:336-856-0801
Mailing Address - Fax:336-856-2804
Practice Address - Street 1:5500 W FRIENDLY AVE
Practice Address - Street 2:STE 201
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4368
Practice Address - Country:US
Practice Address - Phone:336-856-0801
Practice Address - Fax:336-856-2804
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500434207Q00000X
NC52578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2218911HMedicare PIN
NCG18027Medicare UPIN
NCNCE123BMedicare UPIN