Individual
KAITLYN KIM RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
5114 MEDICAL DR APT 2355, SAN ANTONIO, TX 78229-3878
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12931
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
05/14/2026
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