KELLY SHROUT RANDOLPH

LEXINGTON, KY
NPI1396098364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3007554)
Enumeration Date2012-10-16
Last Update Date2012-10-16
Business Address
Ms. KELLY SHROUT RANDOLPH APRN
1101 VETERANS DR
LEXINGTON, KY 40502-2235
Phone number: 859-233-4511
Mailing Address
Ms. KELLY SHROUT RANDOLPH APRN
1038 RAINTREE DR
RICHMOND, KY 40475-3003
Phone number: 859-358-2771
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