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Individual
KELLY GEORGE MCCAUL
Active
Individual
KELLY GEORGE MCCAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4717
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007443
BLUE CROSS
SD
05
—
0536219
—
IA
01
—
1109863
ARAZ/ AMERICA'S PPO
SD
05
—
143425000
—
MN
01
—
26746
MIDLANDS CHOICE
SD
01
—
28222
SANFORD HEALTH PLAN
SD
01
—
3000020
MEDICA
SD
01
—
370624200
DEPT OF LABOR
SD
05
—
46022474342
—
NE
01
—
4717
DAKOTACARE
SD
01
—
57105AH02
WPS TRICARE
SD
05
—
6630680
—
SD
01
—
678061025597
PREFERRED ONE
SD
01
—
74Q10MC
CC SYSTEMS/ BLUE PLUS
MN
01
—
820000376
RR MEDICARE
SD
01
—
92411422911
PRIMEWEST
MN
01
—
HP32347
HEALTHPARTNERS
SD
Enumeration date
02/27/2006
Last updated
10/16/2018
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