Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kerry Randolph, MD

Individual provider Internal Medicine Physician · NPI 1063531390

Kerry Randolph, MD is an Internal Medicine Physician in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
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

3525 S National Ave Ste 101
Springfield, MO 65807-7310
Phone: (417) 269-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence R9C05 (MO)

Record details

NPI number1063531390
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 4046, Springfield, MO 65808-4046

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