Kelly R Randall, RN
Registered Nurse in Lancaster, WI. Individual provider (NPI-1).
NPI number1669719639
StatusActive
Last updated in NPPESJan 11, 2013
Details
- NPI
- 1669719639
- Entity type
- Individual (NPI-1)
- Name
- Kelly R Randall
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2013
- Last updated
- Jan 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 119887-30 | WI | Yes |
Practice location
200 W Alona LnLancaster, WI 53813-2202
Phone 608-723-6357 · Fax 608-723-4417
Mailing address
200 W Alona LnLancaster, WI 53813-2202
Phone 608-723-6357 · Fax 608-723-4417
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All 11 Registered Nurse providers in Lancaster · All 188 providers in Lancaster
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