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NPI Code Detail

MEDICARE: KRISTINALIN CALDWELL ARNP

MEDICARE: KRISTINALIN CALDWELL ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician3003240KY
2363L00000XNurse Practitioner3003240PKY
3363LF0000XFamily Nurse Practitioner3240PKY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841295060
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINALIN CALDWELL ARNP
Provider Business Mailing Address
First Line : 305 ESTILL ST
Second Line :
City : BEREA
State : KY
Zip : 40403-1742
Country : US
Telephone Number : 859-986-6527
Fax Number :
Provider Business Practice Location Address
First Line : 305 ESTILL ST
Second Line :
City : BEREA
State : KY
Zip : 40403-1742
Country : US
Telephone Number : 859-986-6527
Fax Number : 859-986-7355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 01/22/2021

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