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Dr. Mary Kay Randolph, MD
Family Medicine Physician in Polo, Missouri
NPI 1841203023

Mary Kay Randolph is a Family Medicine Physician based in Polo, MO. Mary Kay Randolph practices in Polo, MO and has the professional credentials of MD. The NPI Number for Mary Kay Randolph is 1841203023 and holds a License No. 036-121726 (Missouri).

The current practice location address for Mary Kay Randolph is 36584 W 220Th St, Polo, MO and can be reached out via phone at 816-809-7730.

Location: 36584 W 220Th St, Polo, MO, 64671-8669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841203023
Provider Name
Mary Kay Randolph
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
36584 W 220Th St, Polo, MO, 64671-8669
Phone Number
816-809-7730
Fax Number
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
068002402 01 KS MEDICARE PTAN
100175570C 05 KS
institution
Provider Business Practice Location Address Details
Address
36584 W 220Th St
City
Polo
State
Missouri
Zip
64671-8669
Phone Number
816-809-7730
Fax Number
person
Provider Business Mailing Address Details
Address
36584 W 220Th St
City
Polo
State
Missouri
Zip
64671-8669
Phone Number
816-809-7730
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-121726 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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