Individual
KIMBERLY A RANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3665
(816) 234-3990
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3665
(816) 234-3990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
40062
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
40062
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200886200
—
IN
05
—
7100014550
—
KY
Enumeration date
12/12/2006
Last updated
08/31/2011
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