Kelly R Richardson in Elizabethtown - Physician Assistant
Kelly R Richardson - NPI 1225038086
Kelly R Richardson is a Physician Assistant in Elizabethtown, Kentucky. Kelly R Richardson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly R Richardson is 1225038086. The last update date is 2015-06-02.
Kelly R Richardson's current location address is 914 N Dixie Ave, Elizabethtown, Kentucky. You can contact this provider via phone number 2707691049 and fax number 2707351978. The mailing address for Kelly R Richardson is 914 N Dixie Ave, Elizabethtown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly R Richardson |
|---|---|
| Address | 914 N Dixie Ave, Elizabethtown, Kentucky |
| Phone Number | 2707691049 |
| Fax Number | 2707351978 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1225038086 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2015-06-02 |
Provider Mailing Address Detail
| Address | 914 N Dixie Ave |
|---|---|
| City | Elizabethtown |
| State | Kentucky (KY) |
| Post Code | 427012520 |
| Phone Number | 2707691049 |
| Fax Number | 2707351978 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA816 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95004131 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly R Richardson by the Centers for Medicare & Medicaid Services?
The Kelly R Richardson has been assigned the NPI (National Provider Identifier) 1225038086 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kelly R Richardson?
The Kelly R Richardson is situated at 914 N Dixie Ave, in the city of Elizabethtown, state of KY, with the zip code 427012520.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225038086 to Kelly R Richardson?
The Centers for Medicare & Medicaid Services originally issued the 1225038086 to Kelly R Richardson on 2005-07-22.
As of what date were the details pertaining to Kelly R Richardson last refreshed?
The information related to the Kelly R Richardson, including its address, specialty, and other relevant details, was last updated on 2015-06-02.
When was the information regarding Kelly R Richardson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly R Richardson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-02.
NPI Number: 1184627523
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