Individual
KYLE WILLIAM RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
110 W 1325 N STE 200, CEDAR CITY, UT 84721-8179
(435) 586-7676
(435) 586-2290
Mailing address
110 W 1325 N STE 200, CEDAR CITY, UT 84721-8179
(435) 586-7676
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7013011-4405
UT
363L00000X
Nurse Practitioner
CNP-02222
NM
Other
Enumeration date
09/03/2013
Last updated
04/13/2023
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