Gottfried Randall, Kathryn R
Gottfried Randall, Kathryn R is an sole proprietor health care provider with primary practice located at 6265 Rock Chalk Dr , Lawrence KS 66049-5232. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gottfried Randall, Kathryn R can be contacted via phone (785) 838-7885.Contact Information
Primary practice address
6265 Rock Chalk Dr
Lawrence KS 66049-5232
Phone: (785) 838-7885
Fax: (785) 505-5311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1799 | New Mexico |
Profile Details
| NPI number | 1225016751 |
|---|---|
| LBN Legal business name | Gottfried Randall, Kathryn R |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Feb 20th, 2024 - about 9 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225016751 | NPPES |
| New Mexico | MEDICAID | 09821325 |
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