NPI 1366274854

Kyrrah Rae Randolph, ATC

Practitioner Athletic Trainer Charleston, IL

Practice location

Address: 600 Lincoln Ave, Charleston, IL 61920-3099
Phone: (217) 581-5000
Mailing address: 1345 Garfield Ave APT 1, Charleston, IL 61920-3795

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1366274854
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2024
Record last updated: 26 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.