Provider Demographics
NPI:1932551173
Name:GADEA, RANDI (BA, MS)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:GADEA
Suffix:
Gender:F
Credentials:BA, MS
Other - Prefix:
Other - First Name:RANDI
Other - Middle Name:
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3290
Mailing Address - Fax:816-302-9963
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3290
Practice Address - Fax:816-302-9963
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS