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

Kristen M. Randolph

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790427029

Kristen M. Randolph is a Student in an Organized Health Care Education/Training Program in Camden, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3 Cooper Plz Rm 211
Camden, NJ 08103-1438
Phone: (568) 342-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence P23-00578 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790427029
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2022
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

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