Individual
DR. RANDALL K PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 HOSPITAL DR BLDG B STE 160, WINCHESTER, KY 40391
(859) 744-4429
(859) 745-7702
Mailing address
225 HOSPITAL DR STE 160, WINCHESTER, KY 40391
(859) 744-4429
(859) 745-7702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1190DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011906
—
KY
Enumeration date
08/24/2005
Last updated
03/07/2023
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