Individual
MRS. KRYSTEN LEEANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1751 VETERANS DR STE 300, FLORENCE, AL 35630-4930
(256) 718-3200
(256) 246-3297
Mailing address
1751 VETERANS DR STE 300, FLORENCE, AL 35630-4930
(256) 718-3200
(256) 246-3297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3576
TN
363AM0700X
Medical Physician Assistant
Primary
1346
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267297
—
AL
05
—
Q037209
—
TN
Enumeration date
06/25/2018
Last updated
09/01/2021
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