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1609850478
RANDY A KIENSTRA
SPRINGFIELD, IL
NPI
1609850478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0210X Pediatrics, Pediatric Nephrology
(Licence: IL 036-050246)
Enumeration Date
2005-12-05
Last Update Date
2007-07-08
Business Address
-- RANDY A KIENSTRA M.D.
301 N 8TH ST
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-0654
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Mailing Address
-- RANDY A KIENSTRA M.D.
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-7578
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