Kathryn Kimberly Randall, MD | |
905 S. 8th St., Deming, NM 88030 | |
(575) 543-7200 | |
(575) 543-7253 |
Full Name | Kathryn Kimberly Randall |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 905 S. 8th St., Deming, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184636672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 7343A (Wyoming) | Secondary |
207V00000X | Obstetrics & Gynecology | MD2013-0007 (New Mexico) | Primary |
Entity Name | Deming Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134526221 PECOS PAC ID: 4981599206 Enrollment ID: O20040217000196 |
Entity Name | Deming Clinic Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205835808 PECOS PAC ID: 8325001548 Enrollment ID: O20041109000612 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Kimberly Randall, MD 905 S. 8th St., Deming, NM 88030 Ph: (575) 543-7200 | Kathryn Kimberly Randall, MD 905 S. 8th St., Deming, NM 88030 Ph: (575) 543-7200 |
Jaime Solis, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1413 Columbus Rd, Deming, NM 88030 Phone: 575-546-6548 | |
Dr. Mark David Siletchnik, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1413 Columbus Rd, Deming, NM 88030 Phone: 575-546-6548 Fax: 575-546-6540 |