DR. Richard Randolph III, M.D.

NPI #1992792188 in Lenexa, Kansas

Provider Information

NPI Number: 1992792188
Entity Type: Individual
Name: DR. Richard Randolph III, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 3, 2005
Last Updated: Dec 31, 2012

Practice Location

Address: 12210 W 87TH ST
City: Lenexa
State: Kansas
ZIP Code: 66215-2812
Phone: (913) 438-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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