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Individual
MRS. STACEY MARIE CALDWELL
Active
Individual
MRS. STACEY MARIE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4048520
KY
363LF0000X
Family Nurse Practitioner
Primary
4048520
KY
Other
Enumeration date
12/18/2025
Last updated
01/14/2026
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