Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LYNAE RICHARDSON, PA-C
ActiveKELLY LYNAE RICHARDSON, PA-C is a Physician Assistant healthcare provider located in MESA, Arizona. NPI 1760618730 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MESA, AZ
Registration Details
- NPI Number
- 1760618730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2009 (17.218163483807 yrs)
- Last Updated
- Dec 11, 2024
- Licenses
-
10561256-1206 (UT)7112 (AZ)
Practice Information
- Address
-
5555 E BASELINE RDMESA, AZ, 852064709Browse AZ providers · Browse ZIP 85206
- Phone
- 4803930575
- Fax
- 4807044019
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN ANDREW NELSON | P.A.-C | 1992799662 |
| CHRISTINE ANN CARY | PA | 1538155874 |
| MELISSA CAROL GALLETTA | PAC | 1508841248 |
| LAURIE GIACOLETTO | PA-C | 1477539138 |
| RENEE M LITTLE | PA | 1205806122 |
| MICHAEL DARREN JACKSON | P.A. | 1154394039 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.