Individual
KAYLA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
Mailing address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
50.008048RX
OH
Other
Enumeration date
11/01/2016
Last updated
03/10/2025
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