Caddell, Kevin A

Caddell, Kevin A is an individual health care provider with primary practice located at 1001 Saint Joseph Ln , London KY 40741-8345. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Caddell, Kevin A can be contacted via phone (606) 330-6000.

Contact Information

Primary practice address
1001 Saint Joseph Ln London KY 40741-8345
Phone: (606) 330-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1704 Kentucky

Profile Details

NPI number 1578838116
LBN Legal business name Caddell, Kevin A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2012
Last updated Jun 30th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578838116 NPPES
Kentucky Other PA1704 PA LICENSE

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