Randall, Kelsey

Randall, Kelsey is an individual health care provider with primary practice located at 9003 E Shea Blvd # Az85260 , Scottsdale AZ 85260-6709. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Randall, Kelsey can be contacted via phone (928) 607-8345.

Contact Information

Primary practice address
9003 E Shea Blvd # Az85260 Scottsdale AZ 85260-6709
Phone: (928) 607-8345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 243374 Arizona
Nursing Service Providers / Pediatrics 163WP0200X RN179953 Arizona

Profile Details

NPI number 1699385419
LBN Legal business name Randall, Kelsey
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2020
Last updated Aug 14th, 2020 - about 6 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 1699385419 NPPES
Arizona Other 243374 CERTIFIED NURSE PRACTITIONER LICENSE NUMBER
Arizona Other 22467622 CERTIFIED NURSE PRACTITIONER LICENSE NUMBER

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