IndividualActive
Kelly Randall, M.D.
NPI 1982679171 · Specialist · Fremont, OH
Kelly Randall, M.D. is a Specialist provider in Fremont, OH (NPI 1982679171).
Provider details
- NPI number
- 1982679171
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35-04-5927-R (OH)
Practice location
605 3rd Ave
Suite F
Fremont, OH 43420-3269
Phone: (419) 332-7311
Fax: (419) 332-8552
Street-level locationGet directions
Mailing address
605 3rd Ave
Fremont, OH 43420-3269
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2013-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.