Randall Kloth is a Professional in Hazard, Kentucky. Randall Kloth practices all healthcare services and medical treatments related to Professional. The NPI Number for Randall Kloth is 1215977319. The last update date is 2018-03-30.
Randall Kloth's current location address is 115 Rockwood Ln, Hazard, Kentucky. You can contact this provider via phone number 6064365761. The mailing address for Randall Kloth is 115 Rockwood Ln, Hazard, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Kloth |
|---|---|
| Address | 115 Rockwood Ln, Hazard, Kentucky |
| Phone Number | 6064365761 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPCC |
NPI Number Detail
| NPI Number | 1215977319 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2018-03-30 |
Provider Mailing Address Detail
| Address | 115 Rockwood Ln |
|---|---|
| City | Hazard |
| State | Kentucky (KY) |
| Post Code | 417019415 |
| Phone Number | 6064365761 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100290320 | KY | -- | |
| 30612022 | KY | -- |
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What is the unique identification code assigned to Randall Kloth by the Centers for Medicare & Medicaid Services?
The Randall Kloth has been issued the NPI (National Provider Identifier) 1215977319. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Randall Kloth is located?
The Randall Kloth is situated at the following address: 115 Rockwood Ln, Hazard, KY, 417019415.
What is the Randall Kloth's specialty and taxonomy code?
The Randall Kloth's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Randall Kloth receive the assignment of its 1215977319 from the Centers for Medicare & Medicaid Services?
The Randall Kloth was issued its 1215977319 by the Centers for Medicare & Medicaid Services on 2006-06-07.
When was the information regarding Randall Kloth most recently updated?
The details pertaining to the Randall Kloth, including its address, specialty, and other relevant information, were last refreshed on 2018-03-30.