Individual
MRS. KEYAH PAIGE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2305 CENTRAL AVE, DODGE CITY, KS 67801-6203
(620) 801-3320
(620) 225-8687
Mailing address
PO BOX 5, SUBLETTE, KS 67877-0005
(620) 360-0344
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
15-02687
KS
207QA0505X
Adult Medicine Physician
15-02687
KS
363A00000X
Physician Assistant
Primary
15-02687
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205497054
NPI
—
Enumeration date
06/23/2022
Last updated
08/25/2025
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