Randy Kauk, NP
Nurse Practitioner, Acute Care in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1982131702
StatusActive
Last updated in NPPESOct 9, 2023
Details
- NPI
- 1982131702
- Entity type
- Individual (NPI-1)
- Name
- Randy Kauk
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2017
- Certification date
- Oct 9, 2023
- Last updated
- Oct 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | RN168849 | AZ | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | AP11037 | AZ |
Practice location
10448 E Penstamin DrScottsdale, AZ 85255-2446
Phone 313-587-7228
Mailing address
10448 E Penstamin DrScottsdale, AZ 85255-2446
Phone 313-587-7228
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