Individual provider · Type 1 NPI

Kelly Lynae Richardson, PA-C

Physician Assistant · Mesa, AZ

NPI number 1760618730 Active

Practice location

5555 E Baseline Rd
Mesa, AZ 85206-4709

Call (480) 393-0575 Map

Fax (480) 704-4019

Other practice locations

  • 2045 Franklin St, Denver, CO 80205-5437 · (303) 203-3797
  • 5121 S Cottonwood St Ste 320, Murray, UT 84107-5701 · (801) 507-3380

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10561256-1206 (UT)
Physician Assistant Primary 363A00000X7112 (AZ)

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…

15 other providers at this address

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About NPI 1760618730

Kelly Lynae Richardson, PA-C's National Provider Identifier is 1760618730, issued on Jun 4, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mesa, AZ. The record was last updated on Dec 11, 2024.