Mr Kelly Ross Randall, MS,OTR/L, CLT is a
Occupational Therapist based in George, Iowa. Mr Kelly Ross Randall is licensed to practice in Iowa (license number 01563) and his current practice location is
324 1st Ave N, George, Iowa. He can be reached at his office (for appointments etc.) via phone at
(712) 475-3391.
NPI number for Mr Kelly Ross Randall is 1457551285 and his current mailing address is 706 Eagle Run, Dell Rapids, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457551285.
Healthcare Provider's Profile
Full Name | Mr Kelly Ross Randall |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 324 1st Ave N, George, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457551285
- Provider Enumeration Date: 07/19/2007
- Last Update Date: 07/19/2007
Medical Identifiers
Medical identifiers for Mr Kelly Ross Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457551285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 01563 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kelly Ross Randall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Kelly Ross Randall, MS,OTR/L, CLT 706 Eagle Run, Dell Rapids, SD 57022-2142 Ph: (605) 428-5851 | Mr Kelly Ross Randall, MS,OTR/L, CLT 324 1st Ave N, George, IA 51237-1029 Ph: (712) 475-3391 |
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