Randolph, Kevin

Randolph, Kevin is an individual health care provider with primary practice located at 250 Sw Amesbury Ave , Port St Lucie FL 34953-6964. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Randolph, Kevin can be contacted via phone (772) 336-2327.

Contact Information

Primary practice address
250 Sw Amesbury Ave Port St Lucie FL 34953-6964
Phone: (772) 336-2327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN3350182 Florida

Profile Details

NPI number 1265554505
LBN Legal business name Randolph, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 18 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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