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

Kyle D. Randolph, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497250096

Kyle D. Randolph, DO is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2018.

Licensed in
NM
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A-2474-21 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1497250096
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

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