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NPI Code Detail

MEDICARE: ERICA KELSEY RICHARDSON PA-C

MEDICARE:   ERICA KELSEY RICHARDSON  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0110012026VA

General Provider Information

NPI Number : 1871426353
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA KELSEY RICHARDSON PA-C
Provider Business Mailing Address
First Line : 600 GRESHAM DR
Second Line :
City : NORFOLK
State : VA
Zip : 23507-1904
Country : US
Telephone Number : 757-388-3000
Fax Number :
Provider Business Practice Location Address
First Line : 600 GRESHAM DR
Second Line :
City : NORFOLK
State : VA
Zip : 23507-1904
Country : US
Telephone Number : 757-388-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ ERICA KELSEY RICHARDSON PA-C” Practice Location

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