KIMBERLY A RANDELL MD NPI 1578623021

NPI Information

NPI: 1578623021
Provider Name: KIMBERLY A RANDELL, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Address:
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
Phone: (816) 234-3665
Get Directions

Kimberly A Randell, MD is a pediatric emergency medicine pediatrics in Kansas City, MO. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Kimberly A Randell, MD NPI is 1578623021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108-619
Phone: (816) 234-3665
Fax: (816) 234-3990

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/31/2011.

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	208000000X	Pediatrics		40062	KENTUCKY	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	40062	KENTUCKY	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
1	200886200	MEDICAID	INDIANA
2	7100014550	MEDICAID	KENTUCKY
3	269D994	MEDICARE PIN	MISSOURI
4	0773356	MEDICARE PIN	KENTUCKY

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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