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Individual
CHRISTEN MICHELLE RICHARDSON
Active
Individual
CHRISTEN MICHELLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.004037
OH
363A00000X
Physician Assistant
PA. 200650
LA
363A00000X
Physician Assistant
Primary
TC057
KY
363AM0700X
Medical Physician Assistant
TC057
KY
363AS0400X
Surgical Physician Assistant
TC057
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100477
—
OH
01
—
50.004037
PA LICENSURE
OH
Enumeration date
09/03/2013
Last updated
07/18/2025
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