MR. RANDALL KENNETH CANTRELL GENERAL CONTRACTOR NPI 1689712010

NPI Information

NPI: 1689712010
Provider Name: MR. RANDALL KENNETH CANTRELL, GENERAL CONTRACTOR
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
8902 ORBY CANTRELL HWY
POUND, VA
ZIP 24279
Phone: (276) 796-5789
Get Directions

MR. Randall Kenneth Cantrell, GENERAL CONTRACTOR is a home modifications contractor in Pound, VA. MR. Randall Kenneth Cantrell, GENERAL CONTRACTOR NPI is 1689712010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8902 ORBY CANTRELL HWY
POUND, VA
ZIP 24279-216
Phone: (276) 796-5789
Fax: (276) 796-5789

The enumeration date for this NPI number is 2/1/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications	2705030223	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010277388	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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