KIMBERLY A RANDELL MD NPI 1578623021

NPI Information

  • NPI: 1578623021
  • Provider Name: KIMBERLY A RANDELL, MD
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • Address: 2401 GILLHAM RD
    KANSAS CITY, MO
    ZIP 64108
  • Phone: (816) 234-3665

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NPI Details

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
1208000000XPediatrics40062KENTUCKYNo
22080P0204XPediatricsPediatric Emergency Medicine40062KENTUCKYYes

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
1200886200MEDICAIDINDIANA
27100014550MEDICAIDKENTUCKY
3269D994MEDICARE PINMISSOURI
40773356MEDICARE PINKENTUCKY

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: 11/21/2025

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