Randall Kitchen's National Provider Identifier (NPI) Details
Randall Kitchen, LPC, LCDC
NPI: 1992326821
Enumeration Date: 2020-05-01
Last updated: 2021-05-12
Sole Proprietor: YES
Status: active
Postal Address: 6950 SHADY LN, SCURRY, TX
Phone: 972-452-2210
Primary Practice Address: 332 BAYBERRY TRL, FORNEY, TX
Practice's phone: 214-632-0002