Individual
MR. JAMES KENNETH RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 610-4411
Mailing address
3613 BROWNWOOD LN, NORMAN, OK 73072-1798
(252) 458-5156
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
186656
NC
Other
Enumeration date
05/10/2007
Last updated
03/17/2018
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