Individual
DR. RANDOLPH RICHARD WHITELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 N B ST, HERINGTON, KS 67449-1600
(785) 258-2100
(785) 258-2104
Mailing address
1005 N B ST, HERINGTON, KS 67449-1600
(785) 258-2100
(785) 258-2104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-25153
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100166280K
—
KS
Enumeration date
05/17/2006
Last updated
04/21/2010
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