Kingsbury Randolph LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KINGSBURY RANDOLPH LLC

Practice address

15864 S la Grange Rd
Suite D1C
Orland Park, IL 60462-5366

Phone

(708) 364-7463

Fax

(708) 364-1733

NPI assigned

Dec 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Paul Cain, ABC C. PED

Title

Managing Partner

Phone

(708) 364-7463

Specialties & licenses 1

Addresses

Other names 1

• FOOT SOLUTIONS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1073759338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15864 S LA GRANGE RD",
            "address_2": "SUITE D1C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625366",
            "telephone_number": "708-364-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15864 S LA GRANGE RD",
            "address_2": "SUITE D1C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625366",
            "telephone_number": "708-364-7463",
            "fax_number": "708-364-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBURY RANDOLPH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "708-364-7463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABC C. PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Battle-Miller, MD, SC
• Kindred
• Lynn M King Panepinto, LCSW
• Jennifer King, MPT
• Lauren S King
• Kirk Clinic
• Kirk P Pavletic OD PC
• Frank Kirk, D.O.
• Michael E Kirsch, DDS
• Michael Edward Kirsch Jr., D.D.S.

• Prosthetic/Orthotic Supplier in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.