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1225038086
KELLY R RICHARDSON
LOUISVILLE, KY
NPI
1225038086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA816)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2005-07-22
Last Update Date
2024-08-27
Business Address
Mrs. KELLY R RICHARDSON PA-C
800 ZORN AVE
LOUISVILLE, KY 40206-1433
Phone number: 029-563-4525
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Mailing Address
Mrs. KELLY R RICHARDSON PA-C
914 N DIXIE AVE SUITE 304
ELIZABETHTOWN, KY 42701-2520
Phone number: 270-769-1049
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