Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Richardson, MD05

Individual provider Internal Medicine Physician · NPI 1548278971

Kelly Richardson, MD05 is an Internal Medicine in Wyoming, Michigan. Graduated from Michigan State University College of Human Medicine in 2002, 24 years ago. Practices with Brookville Pediatric and Internal Medicine, PC, a 3-clinician group. Licensed in Michigan.

Years since qualifying
24
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1200 56th St SW
Wyoming, MI 49509-9704
Phone: (616) 243-5707
Fax: (616) 243-1170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0000X · Licence 4301079769 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301079769 (MI)

Record details

NPI number1548278971
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD05
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESOctober 18, 2011
Mailing address1200 56th St Sw, Wyoming, MI 49509-9704

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2002 (24 years in practice)
Group practice Brookville Pediatric And Internal Medicine, Pc — 3 clinicians
Accepts Medicare assignment Not indicated

Other providers in Wyoming