Dr. Kelly Golliher Richardson
Nurse Practitioner Family Doctor - Adult Medicine Family Doctor - Geriatric Medicine
5616 Copper Crk
New Braunfels
, Texas 78132-3921
Dr. Kelly Golliher Richardson
Nurse Practitioner Family Doctor - Adult Medicine Family Doctor - Geriatric Medicine
5616 Copper Crk
New Braunfels
, Texas 78132-3921
(210) 386-8940
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About
Features
Specialties
- Family Doctor - Adult Medicine
- Family Doctor - Geriatric Medicine
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Dr. Kelly Golliher Richardson
- 5616 Copper Crk
- New Braunfels, TX
- Zip : 78132-3921
- Phone : (210) 386-8940
Second Address
- Dr. Kelly Golliher Richardson
- 5616 Copper Crk
- New Braunfels, TX
- Zip : 78132-3921
- Phone : (210) 386-8940
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0505X | Family Doctor - Adult Medicine | 2013010497 | TX |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 2010007126 | TX |
| Y | 363L00000X | Nurse Practitioner | 636991 | TX |
National Provider Identifier
| NPI | 1306167879 |
|---|---|
| Provider Name | Dr. Kelly Golliher Richardson |
| First Address | New Braunfels, TX 78132-3921 |
| Second Address | New Braunfels, TX 78132-3921 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2010 |
| Last Update Date | 24/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1306167879 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.