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DR. KELLY RANDALL M.D.
NPI 1982679171
Specialist in Fremont, OH

Active since February 21, 2006
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 02, 2026.

About Dr. Kelly Randall M.d. NPPES

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

DR. KELLY RANDALL M.D. (NPI 1982679171) is an individual specialist in Fremont, Ohio, licensed in Ohio (35-04-5927-R) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1982679171
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KELLY RANDALLCredential: M.D.
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
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateMarch 21, 2013
✔ NPI 1982679171 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 Names 1

Professional Name (2)Dr. Kelly Randall M.d.

Other Identifiers 8

Medicaid0491052OH
Other000000350046OH · Anthem Cmic-fremont
Other000000131064OH · Anthem Cmic-tiffin
Other200001447OH · Railroad Medicare
Medicare UPINC46404OH
Other341368277-00OH · Workers' Comp
Other3413682771923OH · Neic
Medicare PINRA0511931OH

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
KELLY RANDALL MD INC
Specialist
605 3RD AVE, SUITE F
FREMONT, OH 43420
Sandusky County (419) 332-7311
JOHN M MAURIC D.O.
Family Medicine
605 3RD AVE, SUITE D
FREMONT, OH 43420
Sandusky County (419) 355-8070

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's NPI number?

The NPI number for Kelly Randall is 1982679171. It was assigned to this individual provider in the NPPES registry on February 21, 2006. The provider is also known as Dr. Kelly Randall M.D..

Where is Kelly Randall located?

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

What is Kelly Randall'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 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.