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KERRY RANDOLPH M.D.
NPI 1063531390
Internal Medicine in Springfield, MO

Active since March 28, 2007
3525 S NATIONAL AVE, STE 101, SPRINGFIELD, MO 65807(417) 269-5711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerry Randolph M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRY RANDOLPH M.D. (NPI 1063531390) is an individual internal medicine provider in Springfield, Missouri, licensed in Missouri (R9C05) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063531390
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKERRY RANDOLPHCredential: M.D.
Location Address3525 S NATIONAL AVE, STE 101Springfield, MO 65807-7310
Mailing AddressPo Box 4046Springfield, MO 65808-4046 · (417) 269-6262
Phone(417) 269-5711
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063531390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · R9C05
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3525 S NATIONAL AVE, Springfield, MO 65807
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Other Identifiers 1

Other27694Anthem Bluecross

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGIONAL SERVICES
Family Medicine
3525 S NATIONAL AVE, #307
SPRINGFIELD, MO 65807
Greene County (417) 269-9220
STEPHANIE SWEARENGIN
Nurse Practitioner
3525 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-9950
LESTER E. COX MEDICAL CENTERS
Clinic/Center
3525 S NATIONAL AVE, #101
SPRINGFIELD, MO 65807
Greene County (417) 269-9950
REGIONAL SERVICES
Nurse Practitioner
3525 S NATIONAL AVE, #101
SPRINGFIELD, MO 65807
Greene County (417) 269-9950
LESTER E COX MEDICAL CENTERS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3525 S NATIONAL AVE, SUITE 102
SPRINGFIELD, MO 65807
Greene County (417) 269-7082
DR. MANUEL CAMEJO M.D
Obstetrics & Gynecology
3525 S NATIONAL AVE, SUITE 107
SPRINGFIELD, MO 65807
Greene County (417) 269-9460
MS. KRISTIN L TORGERSON FNP
Nurse Practitioner
3525 S NATIONAL AVE, #101
SPRINGFIELD, MO 65807
Greene County (417) 269-9950
DR. NABIL S. KAMEL M.D.
Internal Medicine (Geriatric Medicine)
3525 S NATIONAL AVE, #207
SPRINGFIELD, MO 65807
Greene County (417) 269-9220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Randolph's NPI number?

The NPI number for Kerry Randolph is 1063531390. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Kerry Randolph located?

Kerry Randolph practices at 3525 S National Ave Ste 101, Springfield, MO 65807. The listed phone number is (417) 269-5711.

What is Kerry Randolph's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kerry Randolph was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.