Caldwell, Stephanie Lynn

Caldwell, Stephanie Lynn is an individual health care provider with primary practice located at 7405 Renner Road , Shawnee KS 66217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Caldwell, Stephanie Lynn can be contacted via phone (913) 588-6100.

Contact Information

Primary practice address
7405 Renner Road Shawnee KS 66217
Phone: (913) 588-6100
Fax: (913) 588-8186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00918 Kansas

Profile Details

NPI number 1255492633
LBN Legal business name Caldwell, Stephanie Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 19th, 2010 - about 16 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 1255492633 NPPES
Other 1060213 NCCPA
MEDICAID 200634930 NCCPA

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