# CALEB COULTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124979679
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 2017019077 | MO | — |
| 364S00000X | Clinical Nurse Specialist | 2026012438 | MO | Yes |

## Other

- **Enumeration date:** 02/09/2026
- **Last updated:** 03/31/2026