Individual
DR. RICHARD RANDOLPH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12210 W 87TH ST, LENEXA, KS 66215-2812
(913) 438-6700
(913) 338-1311
Mailing address
PO BOX 741331, SUITE 203, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 469-5267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0422716
KS
Other
Enumeration date
10/03/2005
Last updated
12/31/2012
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