Individual
RANDAL DE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE K201, LEXINGTON, KY 40536-2639
(859) 323-6211
(859) 257-0491
Mailing address
KENTUCKY CHILDREN'S HOSPITAL 800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.144506
OH
2080P0208X
Pediatric Infectious Diseases Physician
Primary
60239
KY
Other
Enumeration date
06/22/2018
Last updated
07/31/2025
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