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Individual
KIMBERLY ANNE CALDWELL
Active
Individual
KIMBERLY ANNE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
SC
Other
Enumeration date
02/10/2015
Last updated
04/20/2015
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