Richardson, Krysten Leeann
Richardson, Krysten Leeann is an individual health care provider with primary practice located at 1751 Veterans Dr Ste 300 , Florence AL 35630-4930. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Richardson, Krysten Leeann can be contacted via phone (256) 718-3200.Contact Information
Primary practice address
1751 Veterans Dr Ste 300
Florence AL 35630-4930
Phone: (256) 718-3200
Fax: (256) 246-3297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3576 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1346 | Alabama |
Profile Details
| NPI number | 1801381645 |
|---|---|
| LBN Legal business name | Richardson, Krysten Leeann |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2018 |
| Last updated | Sep 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801381645 | NPPES |
| Alabama | MEDICAID | 267297 | |
| Alabama | MEDICAID | Q037209 |
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