Kerry Randolph, M.D.
NPI #1063531390 in Springfield, Missouri
Provider Information
- NPI Number
- 1063531390
- Entity Type
- Individual
- Name
- Kerry Randolph, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3525 S NATIONAL AVE
- Address 2
- STE 101
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65807-7310
- Phone
- (417) 269-5711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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