Individual
MR. RANDALL EDWARD TINDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP FNP
Contact information
Practice address
505 S PLUMMER AVE, CHANUTE, KS 66720-1950
(620) 431-2500
Mailing address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-2500
(620) 431-1880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58-78231-072
KS
363LF0000X
Family Nurse Practitioner
5878231072
KS
Other
Enumeration date
06/01/2018
Last updated
07/08/2026
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