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Kelly Randall MD Inc

Specialist in Fremont, OH · enumerated 2010 · authorized official Kelly Randall, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831401298

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Registry record

Entity type Organization (Type 2)
Legal business name Kelly Randall MD Inc
Practice address 605 3rd Ave, Suite F, Fremont, OH, 43420
Fax (419) 332-8552
Enumeration date Jul 13, 2010
Last updated in NPPES Mar 21, 2013

Taxonomy & classification

174400000X Specialist Other Service Providers · License 35-04-5927-R (OH) Primary

Authorized official

Name Kelly Randall
Title President

Other identifiers

Identifier Type State Issuer
0491052 Medicaid OH -
200001447 Other OH RAILROAD MEDICARE
000000350042 Other OH ANTHEM CMIC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Kelly Randall MD Inc?
Kelly Randall MD Inc is registered in NPPES as a Specialist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-21.