IndividualActive
Randy Kienstra, M.D.
NPI 1609850478 · Pediatric Nephrology Physician · Springfield, IL
Provider details
- NPI number
- 1609850478
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
301 N 8th St
Springfield, IL 62701-1041
Phone: (217) 545-0654
Fax: (217) 545-4117
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19639
Springfield, IL 62794-9639
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.