Kienstra, Randy A

Kienstra, Randy A is an individual health care provider with primary practice located at 301 N 8Th St , Springfield IL 62701-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Kienstra, Randy A can be contacted via phone (217) 545-0654.

Contact Information

Primary practice address
301 N 8Th St Springfield IL 62701-1041
Phone: (217) 545-0654
Fax: (217) 545-4117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X Illinois

Profile Details

NPI number 1609850478
LBN Legal business name Kienstra, Randy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 8th, 2007 - about 17 years 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.

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