Richardson, Kelly D.

Richardson, Kelly D. is an individual health care provider with primary practice located at 1871 Evelyn Byrd Ave , Harrisonburg VA 22801-3487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Richardson, Kelly D. can be contacted via phone (540) 564-5800.

Contact Information

Primary practice address
1871 Evelyn Byrd Ave Harrisonburg VA 22801-3487
Phone: (540) 564-5800
Fax: (540) 564-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001878 Virginia

Profile Details

NPI number 1437117546
LBN Legal business name Richardson, Kelly D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated May 7th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437117546 NPPES
Virginia MEDICAID 1437117546

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