MR. RANDALL KENNETH CANTRELL GENERAL CONTRACTOR NPI 1689712010

NPI Information

  • NPI: 1689712010
  • Provider Name: MR. RANDALL KENNETH CANTRELL, GENERAL CONTRACTOR
  • Classification: Contractor - 171WH0202X
  • Specialization: Home Modifications
  • Entity Type: Individual
  • Address: 8902 ORBY CANTRELL HWY
    POUND, VA
    ZIP 24279
  • Phone: (276) 796-5789

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NPI Details

MR. Randall Kenneth Cantrell, GENERAL CONTRACTOR is a home modifications contractor in Pound, VA. The provider is a contractor who makes modifications to homes to accommodate a health condition. 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
1171WH0202XContractorHome Modifications2705030223VIRGINIAYes

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
1010277388MEDICAIDVIRGINIA

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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