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KELLY RANDALL MD INC
NPI 1831401298
Specialist in Fremont, OH

Active since July 13, 2010
605 3RD AVE, SUITE F, FREMONT, OH 43420(419) 332-7311(419) 332-8552 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Randall Md Inc NPPES

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

KELLY RANDALL MD INC (NPI 1831401298) is a healthcare organization registered as a specialist in Fremont, Ohio and active in the NPI registry since July 2010. The organization lists Kelly Randall, President, as its authorized official.

NPPES Registry Identity

NPI1831401298
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKELLY RANDALL MD INC
Location Address605 3RD AVE, SUITE FFremont, OH 43420-3269
Mailing Address605 3rd Ave, Suite FFremont, OH 43420-3269 · (419) 332-7311 · Fax (419) 332-8552
Phone(419) 332-7311
Fax(419) 332-8552
Organization SubpartNo
Authorized OfficialKelly RandallPresident · (419) 332-7311
Enumeration DateJuly 13, 2010
Last NPPES UpdateMarch 21, 2013
✔ NPI 1831401298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35-04-5927-R
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
605 3RD AVE, Fremont, OH 43420
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Other Identifiers 7

Other=========00OH · Workers' Comp
Medicare UPINC46404OH
Other000000350042OH · Anthem Cmic
Other200001447OH · Railroad Medicare
Other=========1923OH · Neic
Medicaid0491052OH
Medicare PINRA0511931OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

NORTHWEST OHIO ORTHOPEDICS AND SPORTS MEDICINE, INC
Durable Medical Equipment & Medical Supplies
605 3RD AVE
FREMONT, OH 43420
Sandusky County (416) 559-2790
DR. JAMES MCKINLEY WILLIAMS MD, PHD
Otolaryngology (Otolaryngic Allergy)
605 3RD AVE, SUITE A
FREMONT, OH 43420
Sandusky County (567) 201-2890
MUHAMID ASIF ND
Family Medicine
605 3RD AVE
FREMONT, OH 43420
Sandusky County (419) 355-8070
MR. JASON WILLIAM LALONE FNP
Nurse Practitioner
605 3RD AVE
FREMONT, OH 43420
Sandusky County (419) 559-2790
PRIMARY CARE OF NORTHWEST OHIO, INC
Family Medicine
605 3RD AVE, BLG B STE D
FREMONT, OH 43420
Sandusky County (419) 355-8070
JOHN M MAURIC D.O.
Family Medicine
605 3RD AVE, SUITE D
FREMONT, OH 43420
Sandusky County (419) 355-8070
DR. KELLY RANDALL M.D.
Specialist
605 3RD AVE, SUITE F
FREMONT, OH 43420
Sandusky County (419) 332-7311

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 Kelly Randall MD Inc's NPI number?

The NPI number for Kelly Randall MD Inc is 1831401298. It was assigned to this organization in the NPPES registry on July 13, 2010.

Where is Kelly Randall MD Inc located?

Kelly Randall MD Inc is located at 605 3rd Ave Suite F, Fremont, OH 43420. The listed phone number is (419) 332-7311.

What is Kelly Randall MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Randall MD Inc was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.