Whalio Doctors

NPI 1649484361

James Kenneth Randall, CRNA

Practitioner Certified Registered Nurse Anesthetist Midwest City, OK

Practice location

Address
2825 Parklawn Dr, Midwest City, OK 73110-4201
Phone
(405) 610-4411
Mailing address
3613 Brownwood Ln, Norman, OK 73072-1798

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 186656 (NC)

Registry record

NPI
1649484361
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 May 2007
Record last updated
17 Mar 2018

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.