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

Individual provider Physician Assistant · NPI 1154318624

Kris D Clark, PA is a Physician Assistant in Colonial Heights, Virginia. Graduated from Emory University School of Medicine in 2002, 24 years ago. Practices with Patient First Richmond Medical Group PLLC, a 320-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
24
Trained at
Emory University School of Medicine
Licensed in
VA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1260 Temple Ave
Colonial Heights, VA 23834-2984
Phone: (804) 518-2597
Fax: (804) 518-2598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002643 (VA)

Record details

NPI number1154318624
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address5000 Cox Rd, Glen Allen, VA 23060-9263

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Patient First Richmond Medical Group Pllc — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Colonial Heights