Randall Worley Kennedy in Pampa - Professional
Randall Worley Kennedy - NPI 1245398262
Randall Worley Kennedy is a Professional in Pampa, Texas. Randall Worley Kennedy practices all healthcare services and medical treatments related to Professional. The NPI Number for Randall Worley Kennedy is 1245398262. The last update date is 2007-07-08.
Randall Worley Kennedy's current location address is 1308 Charles St, Pampa, Texas. You can contact this provider via phone number 8066880096 and fax number 8066880096. The mailing address for Randall Worley Kennedy is 1308 Charles St, Pampa, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Randall Worley Kennedy |
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Address | 1308 Charles St, Pampa, Texas |
Phone Number | 8066880096 |
Fax Number | 8066880096 |
Sole Proprietor | Y |
Credentials | L.P.C. |
NPI Number Detail
NPI Number | 1245398262 |
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Provider Enumeration Date | 2006-12-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1308 Charles St |
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City | Pampa |
State | Texas (TX) |
Post Code | 790654302 |
Phone Number | 8066880096 |
Fax Number | 8066880096 |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | 17266 |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
392019 | TX | VALUEOPTIONS | |
7224LC | TX | BLUECROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Randall Worley Kennedy by the Centers for Medicare & Medicaid Services?
The Randall Worley Kennedy has been assigned the NPI (National Provider Identifier) 1245398262 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Randall Worley Kennedy?
The Randall Worley Kennedy is physically situated at 1308 Charles St, in the city of Pampa, state of TX, with the postal code 790654302.
What is Randall Worley Kennedy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall Worley Kennedy's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did Randall Worley Kennedy receive its 1245398262 assignment from the Centers for Medicare & Medicaid Services?
The Randall Worley Kennedy was assigned its 1245398262 on 2006-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Randall Worley Kennedy most recently updated?
The details pertaining to the Randall Worley Kennedy, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.