Kavalier, Randall Allen

Kavalier, Randall Allen is an individual health care provider with primary practice located at 1003 Grand Avenue , West Des Moines IA 50265-3502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kavalier, Randall Allen can be contacted via phone (515) 267-1003.

Contact Information

Primary practice address
1003 Grand Avenue West Des Moines IA 50265-3502
Phone: (515) 267-1003
Fax: (515) 267-0100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2117 Iowa
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R9F15 Missouri
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2117 Iowa

Profile Details

NPI number 1003884107
LBN Legal business name Kavalier, Randall Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003884107 NPPES
Iowa MEDICAID 1045898
Iowa Other 10973
Iowa Other IA0100

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