Cundiff, Randall K

Cundiff, Randall K is an individual health care provider with primary practice located at 311 E Spruce St , Garden City KS 67846-5614. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Cundiff, Randall K can be contacted via phone (620) 275-3030.

Contact Information

Primary practice address
311 E Spruce St Garden City KS 67846-5614
Phone: (620) 275-3030
Fax: (620) 275-3025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 44884 Kansas

Profile Details

NPI number 1104877760
LBN Legal business name Cundiff, Randall K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104877760 NPPES
Kansas MEDICAID 100338290C

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