Kevin Randolph in Port St Lucie - Registered Nurse
Kevin Randolph - NPI 1265554505
Kevin Randolph is a Registered Nurse in Port St Lucie, Florida. Kevin Randolph practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Kevin Randolph is 1265554505. The last update date is 2007-07-08.
Kevin Randolph's current location address is 250 Sw Amesbury Ave, Port St Lucie, Florida. You can contact this provider via phone number 7723362327. The mailing address for Kevin Randolph is 250 Sw Amesbury Ave, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Randolph |
|---|---|
| Address | 250 Sw Amesbury Ave, Port St Lucie, Florida |
| Phone Number | 7723362327 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265554505 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 250 Sw Amesbury Ave |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349536964 |
| Phone Number | 7723362327 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | RN3350182 |
|
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
|
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Randolph by the Centers for Medicare & Medicaid Services?
The Kevin Randolph has been assigned the NPI (National Provider Identifier) 1265554505. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kevin Randolph's physical address?
The Kevin Randolph is physically located at 250 Sw Amesbury Ave, in the city of Port St Lucie, FL, with the postal code 349536964.
What is Kevin Randolph's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin Randolph is Registered Nurse, and the taxonomy classification code that categorizes this area of expertise is 163W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265554505 to Kevin Randolph?
The Kevin Randolph received its 1265554505 assignment from the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the information pertaining to Kevin Randolph most recently updated or revised?
The details related to Kevin Randolph, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1558367185
Address: 245 W Race St, Somerset, PA
NPI Number: 1588663769
Address: 400 W Mineral King Ave, Visalia, CA