Randy A Kienstra in Springfield - Pediatric Nephrology

Randy A Kienstra - NPI 1609850478

Randy A Kienstra is a Pediatric Nephrology in Springfield, Illinois. Randy A Kienstra practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for Randy A Kienstra is 1609850478. The last update date is 2007-07-08.

Randy A Kienstra's current location address is Po Box 19639, Springfield, Illinois. You can contact this provider via phone number 2175457578 and fax number 2175451884. The mailing address for Randy A Kienstra is Po Box 19639, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy A Kienstra
Address Po Box 19639, Springfield, Illinois
Phone Number 2175457578
Fax Number 2175451884
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1609850478
Provider Enumeration Date 2005-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 19639
City Springfield
State Illinois (IL)
Post Code 627949639
Phone Number 2175457578
Fax Number 2175451884

Provider's Primary Taxonomy Detail

Speciality Pediatric Nephrology
Taxonomy 2080P0210X
Definition:
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities,

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FAQs about Randy A Kienstra

What is the unique 10-digit identification code issued to Randy A Kienstra by the Centers for Medicare & Medicaid Services?

The Randy A Kienstra has been assigned the NPI (National Provider Identifier) 1609850478 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Randy A Kienstra?

The Randy A Kienstra is physically situated at Po Box 19639, in the city of Springfield, state of IL, with the postal code 627949639.

What is Randy A Kienstra's area of expertise and its corresponding taxonomy classification?

The Randy A Kienstra's field of specialization is Pediatric Nephrology, and it falls under the taxonomy code 2080P0210X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1609850478 to Randy A Kienstra?

The Randy A Kienstra received its 1609850478 assignment from the Centers for Medicare & Medicaid Services on 2005-12-05.

As of what date was the information regarding Randy A Kienstra, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Randy A Kienstra, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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