Provider Demographics
NPI:1366129314
Name:DUNN-RICHMOND, KATHLEEN (RRT)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:DUNN-RICHMOND
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:DUNN-RICHMOND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RRT
Mailing Address - Street 1:507 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:LA JUNTA
Mailing Address - State:CO
Mailing Address - Zip Code:81050-2307
Mailing Address - Country:US
Mailing Address - Phone:214-449-5916
Mailing Address - Fax:
Practice Address - Street 1:1100 CARSON AVE
Practice Address - Street 2:
Practice Address - City:LA JUNTA
Practice Address - State:CO
Practice Address - Zip Code:81050-2751
Practice Address - Country:US
Practice Address - Phone:719-468-1358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009453227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered