Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kailin Elizabeth Cornwall Randolph, MD

Individual provider Family Medicine Physician · NPI 1285376673

Dr. Kailin Elizabeth Cornwall Randolph, MD is a Family Practice in Monona, Wisconsin. Qualified in 2022, 4 years ago. Practices with Meriter Hospital Inc, a 123-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6408 Copps Ave
Monona, WI 53716-3702
Phone: (608) 417-3000
Fax: (608) 845-8684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 83031-20 (WI)

Record details

NPI number1285376673
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2022
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Meriter Hospital Inc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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