Kelly Randall is a Specialist in Fremont, Ohio. Kelly Randall practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelly Randall is 1982679171. The last update date is 2013-03-21.
Kelly Randall's current location address is 605 3rd Ave, Fremont, Ohio. You can contact this provider via phone number 4193327311 and fax number 4193328552. The mailing address for Kelly Randall is 605 3rd Ave, Fremont, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Randall |
|---|---|
| Address | 605 3rd Ave, Fremont, Ohio |
| Phone Number | 4193327311 |
| Fax Number | 4193328552 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982679171 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2013-03-21 |
Provider Mailing Address Detail
| Address | 605 3rd Ave |
|---|---|
| City | Fremont |
| State | Ohio (OH) |
| Post Code | 434203269 |
| Phone Number | 4193327311 |
| Fax Number | 4193328552 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 35-04-5927-R |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3413682771923 | OH | NEIC | |
| 200001447 | OH | RAILROAD MEDICARE | |
| 491052 | OH | -- | |
| 341368277-00 | OH | WORKERS' COMP | |
| 131064 | OH | ANTHEM CMIC-TIFFIN | |
| 350046 | OH | ANTHEM CMIC-FREMONT |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Randall by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Randall has been assigned the NPI (National Provider Identifier) 1982679171. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kelly Randall located?
The Kelly Randall is located at 605 3Rd Ave, Fremont, OH 434203269.
What is Kelly Randall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Randall is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Kelly Randall's 1982679171 issued?
The Kelly Randall's 1982679171 was issued on 2006-02-21.
As of what date were the Kelly Randall's details last updated?
The information pertaining to the Kelly Randall, including its address, specialty, and other details, was most recently updated on 2013-03-21.