Kelly R Richardson (NPI# 1225038086, PAC ID# 8628061546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1225038086 |
| PAC ID by PECOS | 8628061546 |
| Professional Enrollment ID | I20040406001566 |
| Full Name | Kelly R Richardson |
| Organization Legal Name | DRS GODFREY GODFREY AND EKLUND PSC |
| Address |
914 N Dixie Hwy Suite 304 Elizabethtown KY 42701-2537 |
| Phone Number | 2707691049 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3577581552 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180012 | HARDIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 914 N Dixie Hwy, Suite 304, Elizabethtown, KY 42701-2537 | 2707691049 | DRS GODFREY GODFREY AND EKLUND PSC |
| Organization Legal Name | DRS GODFREY GODFREY AND EKLUND PSC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian M Eklund | Internal Medicine | Drs Godfrey Godfrey and Eklund Psc | 914 N Dixie Hwy, Suite 304, Elizabethtown, KY 42701-2537 |
| Chris J Godfrey | Internal Medicine | Drs Godfrey Godfrey and Eklund Psc | 914 N Dixie Hwy, Suite 304, Elizabethtown, KY 42701-2537 |
| William J Godfrey | Internal Medicine | Drs Godfrey Godfrey and Eklund Psc | 914 N Dixie Hwy, Elizabethtown, KY 42701-2537 |
| Street Address |
914 N DIXIE HWY SUITE 304 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip | 42701-2537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian M Eklund | Internal Medicine | Drs Godfrey Godfrey and Eklund Psc | 914 N Dixie Hwy, Suite 304, Elizabethtown, KY 42701-2537 |
| Chris J Godfrey | Internal Medicine | Drs Godfrey Godfrey and Eklund Psc | 914 N Dixie Hwy, Suite 304, Elizabethtown, KY 42701-2537 |
| William J Godfrey | Internal Medicine | Drs Godfrey Godfrey and Eklund Psc | 914 N Dixie Hwy, Elizabethtown, KY 42701-2537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna J Wilson | Clinical Social Worker | 921 N Main St, Elizabethtown, KY 42701-1256 | |
| Lela S Dunn | Psychologist, Clinical | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
| Rhonda A Shircliff | Nurse Practitioner | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
| Debra L Johnson | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
| Alicia Karam | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
| Nicholas L Watters | Psychologist, Clinical | 240 W Dixie Ave, Suite 5b, Elizabethtown, KY 42701-1586 | |
| Kimberly D Tully | Clinical Social Worker | 240 W Dixie Ave, Suite 5 B, Elizabethtown, KY 42701-1586 | |
| Katie V Barnett | Anesthesiology | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Price R Richardson | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Tracy L Dupree | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Find all physicians in zip 42701 | |||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ELIZABETHTOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly R 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.