All Medicaid billing entities listing KELLEY, RANDALL (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $96K |
| North Carolina | 1 | $593.86 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | PENTWATER, MI | Primary Care Clinic/Center | $96K |
| 2 | CAROMONT MEDICAL GROUP INC | CHARLOTTE, NC | Family Medicine Physician | $593.86 |