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Individual

RANDI L CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1360 DOLWICK DR, ERLANGER, KY 41018-3127
(859) 781-4111
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 781-4111
(859) 441-5214

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26249
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0101197
OH
01
080092535
RAILROAD MEDICARE
KY
05
64262496
KY
01
P00839864
RAILROAD MEDICARE
KY
Enumeration date
05/31/2006
Last updated
04/12/2024
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