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Contact Information

KEYAH P RICHARDSON, PA-C
2305 CENTRAL AVE
DODGE CITY, KS67801-6203
 Phone: 620-801-3320
 Fax: 620-225-8687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEYAH P RICHARDSON · (Female)

NPI # 1467183038
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/23/2022
Last updated 08/25/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 15-02687
  • Other 1205497054 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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