Individual
RANDALL K CUNDIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3030
(620) 275-3025
Mailing address
PO BOX 803929, KANSAS CITY, MO 64180-3929
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44884
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100338290C
—
KS
Enumeration date
05/16/2006
Last updated
04/17/2024
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