Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN RANDERSON
Active Sole ProprietorBENJAMIN RANDERSON is a Physician Assistant healthcare provider located in KENOSHA, Wisconsin. NPI 1285332072 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KENOSHA, WI
Registration Details
- NPI Number
- 1285332072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2023 (3.4569702495368 yrs)
- Last Updated
- Oct 26, 2023
- License
-
7503 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10400 75TH STKENOSHA, WI, 531427884Browse WI providers · Browse ZIP 53142
- Phone
- 2629485600
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| NISHA DESHPANDE | PA | 1154322147 |
| KAREN J STEVENS | PA | 1750362208 |
| ALISHA FAY MALY | PA | 1275517443 |
| MS. KIMBERLY ROBERSON | PA | 1083666796 |
| POLLYANNA KABARA | PA-C | 1134173479 |
| KEVEN R MOTTINGER | PAC | 1154377091 |
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.