Individual provider · Type 1 NPI

Kelsey Elizabeth Richard, PA-C

Physician Assistant · Jacksonville, NC

NPI number 1124680186 Active

Practice location

2145 Country Club Rd Ste 100
Jacksonville, NC 28546-0145

Fax (910) 333-8607

Mailing address

2504 Delaney Ave
Wilmington, NC 28403-6002

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124680186

Kelsey Elizabeth Richard, PA-C's National Provider Identifier is 1124680186, issued on Jun 30, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, NC. The record was last updated on Jun 11, 2025.