Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kiama Miracle Richardson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003628702

Kiama Miracle Richardson is a Student in an Organized Health Care Education/Training Program in South Bend, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1234 N Notre Dame Ave
South Bend, IN 46617-1404
Phone: (574) 904-9549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003628702
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2025
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address1234 N Notre Dame Ave, South Bend, IN 46617-1404

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