Individual
JESS T. RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE L203, LEXINGTON, KY 40536-0001
(859) 323-6754
(859) 323-3499
Mailing address
319 S. MANNING BLVD, SUITE 203, ALBANY, NY 12208
(518) 489-3292
(518) 453-6786
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
35.151910
OH
2080P0202X
Pediatric Cardiology Physician
306608
NY
2080P0202X
Pediatric Cardiology Physician
59406
KY
Other
Enumeration date
04/30/2012
Last updated
04/01/2025
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