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Individual
MS. BRENDA H CAUDILL
Active
Individual
MS. BRENDA H CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1070594
KY
363L00000X
Nurse Practitioner
Primary
3002746
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78003209
—
KY
Enumeration date
04/19/2006
Last updated
02/14/2017
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