Individual
KELLY D. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1871 EVELYN BYRD AVE, HARRISONBURG, VA 22801-3487
(540) 564-5800
(540) 564-5801
Mailing address
1871 EVELYN BYRD AVE, HARRISONBURG, VA 22801-3487
(540) 564-5800
(540) 564-5801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001878
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437117546
—
VA
Enumeration date
05/01/2006
Last updated
05/07/2018
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