Individual provider · Type 1 NPI

Kiama Miracle Richardson

Student in an Organized Health Care Education/Training Program · South Bend, IN

NPI number 1003628702 Active

Practice location

1234 N Notre Dame Ave
South Bend, IN 46617-1404

Call (574) 904-9549 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003628702

Kiama Miracle Richardson's National Provider Identifier is 1003628702, issued on Jan 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Bend, IN. The record was last updated on Jan 21, 2025.