Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kylie Perkins Risendal, PA-C

Individual provider Physician Assistant · NPI 1285067868

Kylie Perkins Risendal, PA-C is a Physician Assistant in Fishersville, Virginia. Works from 2 locations. Licensed in Virginia and West Virginia.

Licensed in
VA, WV
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

70 Medical Center Cir Ste 103
Fishersville, VA 22939-2273
Phone: (540) 245-7400
Fax: (540) 245-7401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 Morris St Ste 400, Charleston, WV 25301-1854 — (304) 344-3551

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008477 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 2040 (WV)

Record details

NPI number1285067868
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2013
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 388, Fishersville, VA 22939-0388

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