NPI 1962069401

Kylee Richmond, PAC

Practitioner Physician Assistant Hailey, ID

Practice location

Address: 507 S Main St, Hailey, ID 83333-8929
Phone: (208) 788-4122
Mailing address: PO Box 4341, Hailey, ID 83333-4341

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1962069401
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2019
Record last updated: 25 Aug 2022

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.