Kelly A Richardson (NPI# 1548278971, PAC ID# 4789683053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1548278971 |
| PAC ID by PECOS | 4789683053 |
| Professional Enrollment ID | I20061214000167 |
| Full Name | Kelly A Richardson |
| Organization Legal Name | BROOKVILLE PEDIATRIC AND INTERNAL MEDICINE, PC |
| Address |
1200 56th St Sw Wyoming MI 49509-9704 |
| Phone Number | 6162435707 |
| Gender | F |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 0446273510 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1200 56th St Sw, Wyoming, MI 49509-9704 | 6162435707 | BROOKVILLE PEDIATRIC AND INTERNAL MEDICINE, PC |
| Organization Legal Name | BROOKVILLE PEDIATRIC AND INTERNAL MEDICINE, PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linnelle Veldhouse | Internal Medicine | Brookville Pediatric and Internal Medicine, PC | 8485 Algoma Ave Ne, Rockford, MI 49341-8104 |
| Dwayne L Cook | Internal Medicine | Brookville Pediatric and Internal Medicine, PC | 1200 56th Sw St, Wyoming, MI 49509-9704 |
| Brian S Haskin | Internal Medicine | Brookville Pediatric and Internal Medicine, PC | 8485 Algoma Ave Ne, Rockford, MI 49341-8104 |
| David E Tiesma | Internal Medicine | Brookville Pediatric and Internal Medicine, PC | 8485 Algoma Ave Ne, Rockford, MI 49341-8104 |
| Jane A Post | Internal Medicine | Brookville Pediatric and Internal Medicine, PC | 8485 Algoma Ave Ne, Rockford, MI 49341-8104 |
| Street Address |
1200 56TH ST SW |
| City | WYOMING |
| State | MI |
| Zip | 49509-9704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leo P Thompson | Optometry | Rx Optical Laboratories, Inc. | 1717 28th St Sw, Wyoming, MI 49509 |
| Stacy Maier Noyes | Optometry | Rx Optical Laboratories, Inc. | 1717 28th St Sw, Wyoming, MI 49509 |
| William Boras Iii | Optometry | Rx Optical Laboratories, Inc. | 1717 28th St Sw, Wyoming, MI 49509 |
| Francis K Awere | Chiropractic | 945 Burton St Sw, Wyoming, MI 49509-1422 | |
| Matthew A Brown | Chiropractic | Elite Sports and Family Chiropractic, Plc | 970 28th St Sw, Wyoming, MI 49509-2851 |
| Lara Baatenburg | Family Medicine | Advantage Health/saint Mary's Medical Group | 950 36th St Sw, Wyoming, MI 49509-3587 |
| Gursharn S Dosanjh | Internal Medicine | 585 36th St Sw, Wyoming, MI 49509-4002 | |
| Laura Ann Kooy | Physician Assistant | Gursharn S Dosanjh Md PC | 585 36th St Sw, Wyoming, MI 49509-4002 |
| Mary E Gladish | Chiropractic | 4315 Clyde Park Ave Sw, Wyoming, MI 49509-4036 | |
| Claudell Md Cox | Otolaryngology | Thomas W Pfennig, Do | 1555 44th St Sw, Rapids Ear Nose Throat, Wyoming, MI 49509-4313 |
| Find all physicians in zip 49509 | |||
| City | WYOMING |
| Zip Code | 49509 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WYOMING + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kelly A Richardson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.