NPI 1043634702

Kristen Richardson, PAC

Practitioner Physician Assistant Flowood, MS

Practice location

Address: 108 Belle Meade PT, Flowood, MS 39232-3308
Phone: (601) 992-7002

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA00183 (MS)

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Registry record

NPI: 1043634702
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2014
Record last updated: 19 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.