Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kira Randolph

Individual provider Physician Assistant · NPI 1477452464

Kira Randolph is a Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2147 W Evergreen Ave Unit 102
Chicago, IL 60622-8828
Phone: (804) 738-2116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477452464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2026
Last updated in NPPESNovember 4, 2026
Certification dateNovember 4, 2026

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