Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL SHANE RANDOLPH, MD
Active Sole ProprietorDR. MICHAEL SHANE RANDOLPH, MD is a Family Medicine healthcare provider located in SOMERSET, Kentucky. NPI 1023111010 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SOMERSET, KY
Registration Details
- NPI Number
- 1023111010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2006 (19.934892839652 yrs)
- Last Updated
- Jul 8, 2007
- License
-
33885 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 HARDIN LNSOMERSET, KY, 425033800Browse KY providers · Browse ZIP 42503
- Phone
- 6066760786
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SOMERSET, KY
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY TODD WHITE | M.D. | 1609879758 |
| DAVID WAYNE FLYNN | M.D. | 1700889144 |
| SUSAN J PETROSKY | M.D. | 1124021563 |
| MS. CATHERINE STROUD MARTIN | DO | 1356349906 |
| MR. STEPHEN SHAIN KITECK | MD | 1245202811 |
| RODNEY J OAKES | M.D. | 1932173572 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.