Randy V Kellenberger (NPI# 1932186681, PAC ID# 7012817927) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1932186681 |
| PAC ID by PECOS | 7012817927 |
| Professional Enrollment ID | I20120423000239 |
| Full Name | Randy V Kellenberger |
| Organization Legal Name | FORT SCOTT FAMILY MEDICINE PA |
| Address |
202 State St A Fort Scott KS 66701-2031 |
| Phone Number | 6202233950 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5991737512 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171382 | ATCHISON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 202 State St A, Fort Scott, KS 66701-2031 | 6202233950 | FORT SCOTT FAMILY MEDICINE PA |
| Organization Legal Name | FORT SCOTT FAMILY MEDICINE PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Lewis | Nurse Practitioner | Fort Scott Family Medicine Pa | 202 State St A, Fort Scott, KS 66701-2031 |
| Street Address |
202 STATE ST A |
| City | FORT SCOTT |
| State | KS |
| Zip | 66701-2031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Lewis | Nurse Practitioner | Fort Scott Family Medicine Pa | 202 State St A, Fort Scott, KS 66701-2031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant C Hartman | Chiropractic | 13 S National Ave, Fort Scott, KS 66701-1308 | |
| Randall R Holloway | Optometry | 4 S National Ave, Fort Scott, KS 66701-1309 | |
| Steve C Mitchell Sr. | Optometry | 624 S National Ave, Fort Scott, KS 66701-1391 | |
| Destiny D Foulk | Optometry | 624 S National Ave, Fort Scott, KS 66701-1391 | |
| Meredith V Tucker | Physical Therapy | 18 N Main St, Fort Scott, KS 66701-1435 | |
| Gentry A White | Qualified Speech Language Pathologist | 323 E Wall St, Fort Scott, KS 66701-1533 | |
| Erin M Crank | Chiropractic | Crank Chiropractic Care Inc | 325 E Wall St, Fort Scott, KS 66701-1533 |
| Katricia E Bradbury | Physical Therapy | Bradbury Therapy Consultants LLC | 323 E Wall St, Fort Scott, KS 66701-1533 |
| Robert E Odell | Chiropractic | Fort Scott Chiropractic LLC | 222 State St, Fort Scott, KS 66701-2031 |
| Paul L Daniels | Psychologist, Clinical | 710 W 8th St, 201 Choices Psychological Services, Fort Scott, KS 66701-2404 | |
| Find all physicians in zip 66701 | |||
| City | FORT SCOTT |
| Zip Code | 66701 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FORT SCOTT + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Randy V Kellenberger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.