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: July 19, 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
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

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.

Otolaryngology (Otolaryngic Allergy)
605 3RD AVE, SUITE A
FREMONT, OH 43420
Specialist
605 3RD AVE, SUITE F
FREMONT, OH 43420
Family Medicine
605 3RD AVE, BLG B STE D
FREMONT, OH 43420
Family Medicine
605 3RD AVE, SUITE D
FREMONT, OH 43420
Durable Medical Equipment & Medical Supplies
605 3RD AVE
FREMONT, OH 43420
Nurse Practitioner (Family)
605 3RD AVE
FREMONT, OH 43420
Family Medicine
605 3RD AVE
FREMONT, OH 43420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831401298, enumerated as an "organization" on July 13, 2010.

The provider is located at 605 3RD AVE SUITE F FREMONT, OH 43420 and the phone number is (419) 332-7311.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare, Medicaid, Anthem Blue Cross and Railroad. Please consult your insurance carrier or call the provider to verify.