Individual provider · Type 1 NPI

Kimberly Lee Randolph, CRNP

Family Nurse Practitioner · Decatur, AL

NPI number 1073004842 Active

Practice location

2205 Beltline Rd SW
Decatur, AL 35601-3617

Mailing address

14448 Water Stream Dr NW
Harvest, AL 35749-5915

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF-04180370 (AL)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1073004842

Kimberly Lee Randolph, CRNP's National Provider Identifier is 1073004842, issued on May 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Decatur, AL. The record was last updated on May 28, 2018.