MR. RANDALL WORLEY KENNEDY L.P.C. NPI 1245398262

NPI Information

NPI: 1245398262
Provider Name: MR. RANDALL WORLEY KENNEDY, L.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1224 N HOBART ST
SUITE 1
PAMPA, TX
ZIP 79065
Phone: (806) 688-0096
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MR. Randall Worley Kennedy, L.P.C. is a professional counselor in Pampa, TX. MR. Randall Worley Kennedy, L.P.C. NPI is 1245398262. 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:

1224 N HOBART ST
SUITE 1
PAMPA, TX
ZIP 79065-606
Phone: (806) 688-0096
Fax: (806) 688-0096

The enumeration date for this NPI number is 12/4/2006 and was last updated on 7/8/2007.

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	101YP2500X	Counselor	Professional	17266	TEXAS	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	392019	OTHER	TEXAS	VALUEOPTIONS
2	7224LC	OTHER	TEXAS	BLUECROSS BLUE SHIELD

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: 11/14/2023

NPI Synchronization or Removal

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