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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KIRA RANDOLPH
NPI 1477452464
Physician Assistant in Chicago, IL

Active since November 04, 2026
2147 W EVERGREEN AVE UNIT 102, CHICAGO, IL 60622(804) 738-2116 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kira Randolph NPPES

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

KIRA RANDOLPH (NPI 1477452464) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1477452464
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIRA RANDOLPH
Location Address2147 W EVERGREEN AVE UNIT 102Chicago, IL 60622-8828
Mailing Address2147 W Evergreen Ave Unit 102Chicago, IL 60622-8828
Phone(804) 738-2116
Sole ProprietorYes
Enumeration DateNovember 4, 2026
NPPES CertifiedNovember 4, 2026
✔ NPI 1477452464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2147 W EVERGREEN AVE UNIT 102, Chicago, IL 60622
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Other Providers at the Same Location NPPES

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

NDIYA NENA KALU USIM
Student in an Organized Health Care Education/Training Program
2147 W EVERGREEN AVE UNIT 102
CHICAGO, IL 60622
Cook County (562) 292-3223

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 Kira Randolph's NPI number?

The NPI number for Kira Randolph is 1477452464. It was assigned to this individual provider in the NPPES registry on November 4, 2026.

Where is Kira Randolph located?

Kira Randolph practices at 2147 W Evergreen Ave Unit 102, Chicago, IL 60622. The listed phone number is (804) 738-2116.

What is Kira Randolph's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kira Randolph was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.