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Individual
KATHI SALLEY RANDALL
Active
Individual
KATHI SALLEY RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, MSN, CNS, NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
504615
CA
364SN0000X
Neonatal Clinical Nurse Specialist
1392
CA
Other
Enumeration date
03/07/2007
Last updated
09/11/2025
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