Individual
HALEY C RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 SPRING ST, JEFFERSONVILLE, IN 47130-3704
(812) 282-8494
(812) 288-4481
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003008A
IN
363A00000X
Physician Assistant
TC165
KY
363A00000X
Physician Assistant
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—
Other
Enumeration date
03/30/2020
Last updated
03/10/2025
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