MICHAEL SHANE RANDOLPH

SOMERSET, KY
NPI1023111010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  33885)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
Dr. MICHAEL SHANE RANDOLPH MD
104 HARDIN LN
SOMERSET, KY 42503-3800
Phone number: 606-676-0786
Mailing Address
Dr. MICHAEL SHANE RANDOLPH MD
3750 KY HWY 2141
STANFORD, KY 40484
Phone number:
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