Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL LOUIS MCKISSACK, M.D.
ActiveDR. RANDALL LOUIS MCKISSACK, M.D. is a General Surgery healthcare provider located in FORT WALTON BEACH, Florida. NPI 1487639621 is currently active in the NPPES registry. Verify at CMS.
General Surgery · FORT WALTON BEACH, FL
Registration Details
- NPI Number
- 1487639621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2005 (20.701516994693 yrs)
- Last Updated
- Nov 12, 2020
- License
-
ME96715 (FL)
Practice Information
- Address
-
999 MAR WALT DRFORT WALTON BEACH, FL, 325476758Browse FL providers · Browse ZIP 32547
- Phone
- 8508638269
- Fax
- 8508627965
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in FORT WALTON BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN ROBERT BRENT | M.D. | 1609872688 |
| DR. MICHAEL WILLIAM RESTEY | M.D. | 1346222122 |
| DR. DAVID W BURKLAND | M.D. | 1467437616 |
| DR. ROBERT LANE ROGERS | M.D. | 1073598983 |
| JOHN CHRISTOFER DALI | M.D. | 1023083177 |
| MS. TARA REXANNE ENNIS | MD | 1700961141 |
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.