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Search › Kentucky › 225200000X

Jared Randolph

NPI 1225780034 · on the registry since 2022

Practice

Address
1614 W Parrish Ave
Owensboro, KY 42301
Phone
(270) 684-4559
Organisation at this address
Lp Owensboro Llc
Hqm Of Owensboro, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky