Healthcare Provider Details

I. General information

NPI: 1205850153
Provider Name (Legal Business Name): WILLIAM MCKAMIE CALDWELL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 HERITAGE WAY STE 201
KALISPELL MT
59901-3105
US

IV. Provider business mailing address

2038 DARTMOUTH PL
CHARLOTTE NC
28207-1408
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-8330
  • Fax:
Mailing address:
  • Phone: 704-996-9376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2003-00949
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number200300949
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number100052
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: