Provider Demographics
NPI:1336851641
Name:RICHARDS, KELLY ANN (CRNP)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:111 CHAMBERS HILL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-7304
Mailing Address - Country:US
Mailing Address - Phone:717-709-7922
Mailing Address - Fax:717-263-2055
Practice Address - Street 1:133 W CATHERINE ST STE 300
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-3594
Practice Address - Country:US
Practice Address - Phone:717-263-7866
Practice Address - Fax:717-660-0906
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2025-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP026802363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily