Individual
MS. KIMBERLY T RANDOLPH
Active
Individual
MS. KIMBERLY T RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9318390
FL
Other
Enumeration date
10/02/2013
Last updated
08/19/2021
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