Kenneth Edwin Randall in Tulsa - Physical Therapist

Kenneth Edwin Randall - NPI 1417092057

Kenneth Edwin Randall is a Physical Therapist in Tulsa, Oklahoma. Kenneth Edwin Randall practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kenneth Edwin Randall is 1417092057. The last update date is 2007-07-08.

Kenneth Edwin Randall's current location address is 4502 E 41st St, Tulsa, Oklahoma. You can contact this provider via phone number 9186603276 and fax number 9186603297. The mailing address for Kenneth Edwin Randall is 4502 E 41st St, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Edwin Randall
Address 4502 E 41st St, Tulsa, Oklahoma
Phone Number 9186603276
Fax Number 9186603297
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1417092057
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4502 E 41st St
City Tulsa
State Oklahoma (OK)
Post Code 741352553
Phone Number 9186603276
Fax Number 9186603297

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 1372
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Kenneth Edwin Randall

What is the Kenneth Edwin Randall's 1417092057?

The Kenneth Edwin Randall's NPI (National Provider Identifier) Number is 1417092057. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kenneth Edwin Randall is physically located?

The Kenneth Edwin Randall is physically situated at the following address: 4502 E 41St St, Tulsa, OK, 741352553.

What is the area of specialization for Kenneth Edwin Randall, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kenneth Edwin Randall is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1417092057 to Kenneth Edwin Randall?

The Kenneth Edwin Randall received its 1417092057 assignment from the Centers for Medicare & Medicaid Services on 2007-02-21.

When was the information pertaining to Kenneth Edwin Randall most recently updated or revised?

The details related to Kenneth Edwin Randall, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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