Provider Demographics
NPI:1164385522
Name:RICHARDS, KIESHA NICOLE (CD (DONA))
Entity type:Individual
Prefix:
First Name:KIESHA
Middle Name:NICOLE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-935 HOOMOHALU PL
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-4945
Mailing Address - Country:US
Mailing Address - Phone:360-628-3746
Mailing Address - Fax:
Practice Address - Street 1:91-935 HOOMOHALU PL
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-4945
Practice Address - Country:US
Practice Address - Phone:360-628-3746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula