Kenton Randolph

NPI 1205828381 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1205828381
Enumeration Date 08/16/2005
Last Updated 04/11/2016
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Position OWNER, ATP
Phone (816) 364-4357
Fax (816) 364-3165
Practice Location
2303 S 22ND ST
SAINT JOSEPH MO, 64503-2811, US
Phone (816) 364-4357
Fax (816) 364-3165
Business Location
PO BOX 1395
SAINT JOSEPH MO, 64502-1395, US
Phone (816) 364-4357
Fax (816) 364-3165
Taxonomy Code 332B00000X
License State
License Number
Remove 1205828381 NPI Number

According to our database, Kenton Randolph NPI is 1205828381, taxonomy code is 332B00000X Kenton Randolph physically located at 2303 S 22nd St, Saint Joseph MO, 64503-2811. NPI Number 1033115704 has the healthcare provider type.

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1205828381 NPI number is provided on an as is basis without warranty of any kind. 1205828381 is maintained by the National Plan & Provider Enumeration System. The contents of Kenton Randolph are for informational purposes only.