Provider Demographics
NPI:1972855666
Name:RICHARDS-CAPP, KRISTIN JOYCE (MIDWIFE)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:JOYCE
Last Name:RICHARDS-CAPP
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7533 S 25TH ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-9745
Mailing Address - Country:US
Mailing Address - Phone:269-303-3832
Mailing Address - Fax:
Practice Address - Street 1:7533 S 25TH ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-9745
Practice Address - Country:US
Practice Address - Phone:269-303-3832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife