Provider Demographics
NPI:1891515839
Name:BROWN-RICHARDS, KEMESHA TAMARA (RN)
Entity type:Individual
Prefix:
First Name:KEMESHA
Middle Name:TAMARA
Last Name:BROWN-RICHARDS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 E 223RD ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-5998
Mailing Address - Country:US
Mailing Address - Phone:929-281-8900
Mailing Address - Fax:
Practice Address - Street 1:1319 E 223RD ST APT 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-5998
Practice Address - Country:US
Practice Address - Phone:929-281-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY87048501163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse