Individual
RANDALL J SEIDEHAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2831 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 926-4100
(270) 684-4678
Mailing address
2200 E PARRISH AVE, STE 104, OWENSBORO, KY 42303-1449
(270) 926-4100
(270) 684-4678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA487
KY
Other
Enumeration date
08/07/2006
Last updated
10/26/2016
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