Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY RANDALL, M.D.
ActiveDR. KELLY RANDALL, M.D. is a Specialist healthcare provider located in FREMONT, Ohio. NPI 1982679171 is currently active in the NPPES registry. Verify at CMS.
Specialist · FREMONT, OH
Registration Details
- NPI Number
- 1982679171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2006 (20.4812928173 yrs)
- Last Updated
- Mar 21, 2013
- License
-
35-04-5927-R (OH)
Practice Information
- Address
-
605 3RD AVESUITE FFREMONT, OH, 434203269Browse OH providers · Browse ZIP 43420
- Phone
- 4193327311
- Fax
- 4193328552
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in FREMONT, OH
| Name | Credential | NPI |
|---|---|---|
| MR. PETER MICHAEL FANTINO | L.M.T. | 1154457612 |
| KIMBERLY R YOUNG | LMT | 1316104102 |
| PEGGY SMITH | LMT | 1225583230 |
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.