KALVIN RANDALL STNA NPI 1588079537

NPI Information

NPI: 1588079537
Provider Name: KALVIN RANDALL, STNA
Classification: Contractor - 171W00000X
Entity Type: Individual
Address:
980 ISLINGTON ST
TOLEDO, OH
ZIP 43610
Phone: (419) 699-3552
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Kalvin Randall, STNA is a contractor in Toledo, OH. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Kalvin Randall, STNA NPI is 1588079537. 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:

980 ISLINGTON ST
TOLEDO, OH
ZIP 43610-245
Phone: (419) 699-3552

The enumeration date for this NPI number is 6/29/2014 and was last updated on 6/29/2014.

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	171W00000X	Contractor				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	2940741	MEDICAID	OHIO

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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