Individual provider · Type 1 NPI

Tyeshia Halsell Richards, PA-C

Medical Physician Assistant · Louisville, KY

NPI number 1760639421 Active

Practice location

7098 Distribution Dr, Ste A
Louisville, KY 40258-2879

Call (502) 749-8019 Map

Fax (833) 755-1833

Mailing address

7098 Distribution Dr Ste A
Louisville, KY 40258-2879

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1121 (KY)

Medical Physician Assistant: Definition to come...

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About NPI 1760639421

Tyeshia Halsell Richards, PA-C's National Provider Identifier is 1760639421, issued on Aug 25, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Louisville, KY. The record was last updated on Nov 3, 2021.