Dr RANDY V KELLENBERGER is a male medical professional, specializing in Emergency Medicine. He graduated in 1984 from Chicago College Of Osteopathic Medicine.
FORT SCOTT FAMILY MEDICINE PA
202 STATE ST A
FORT SCOTT
KS
667012031
Tel: 6202233950
| Npi | 1932186681 |
| Pac Id | 7012817927 |
| Professional Enrollment Id | I20120423000239 |
| Last Name | KELLENBERGER |
| First Name | RANDY |
| Middle Name | V |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | EMERGENCY MEDICINE |
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| Organization Legal Name | FORT SCOTT FAMILY MEDICINE PA |
| Group Practice Pac Id | 5991737512 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 202 STATE ST A |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FORT SCOTT |
| State | KS |
| Zip Code | 667012031 |
| Phone Number | 6202233950 |
| Hospital Affiliation Ccn 1 | 171382 |
| Hospital Affiliation Lbn 1 | ATCHISON HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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