Kylie Perkins Risendal, PA-C
Physician Assistant · Fishersville, VA
Practice location
70 Medical Center Cir Ste 103Fishersville, VA 22939-2273
- Phone
- (540) 245-7400
- Fax
- (540) 245-7401
NPI record
- NPI
- 1285067868
- Entity type
- Individual (Type 1)
- Enumeration date
- August 19, 2013
- Last updated
- May 12, 2025
- Certified
- May 12, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
0110008477 | VA |
| Physician Assistant | 363A00000X |
2040 | WV |
Mailing address
PO Box 388Fishersville, VA 22939-0388
Other practice locations (1)
- 415 Morris St Ste 400, Charleston, WV 25301-1854 · (304) 344-3551
About Kylie Risendal
Kylie Perkins Risendal, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 70 Medical Center Cir Ste 103, Fishersville, VA 22939-2273. The NPI number 1285067868 was assigned on August 19, 2013 and the record was last updated on May 12, 2025.
Kylie Risendal lists 2 licenses in the registry: #0110008477 (VA) for Physician Assistant; #2040 (WV) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kylie Perkins Risendal, PA-C?
The NPI number is 1285067868.
What is the phone number of Kylie Risendal?
The phone number listed for the practice location is (540) 245-7400.
Where is Kylie Risendal located?
70 Medical Center Cir Ste 103, Fishersville, VA 22939-2273.
What is the taxonomy code for Kylie Risendal?
The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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