Randall, Kathi Salley

Randall, Kathi Salley is an sole proprietor health care provider with primary practice located at 28141 Belleterre Ave , Moreno Valley CA 92555-6223. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Randall, Kathi Salley can be contacted via phone (909) 558-4403.

Contact Information

Primary practice address
28141 Belleterre Ave Moreno Valley CA 92555-6223
Phone: (909) 558-4403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 504615 California
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 364SN0000X 1392 California

Profile Details

NPI number 1982734711
LBN Legal business name Randall, Kathi Salley
Credentials RNC, MSN, CNS, NNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
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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