Organization
GEORGE HAYDEN CAUDILL, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE HAYDEN CAUDILL M.D. (PRESIDENT)
(606) 642-3250
Entity
Organization
Contact information
Practice address
1893 RED FOX RD., BOX 98, RED FOX, KY 41847-0098
(606) 642-3250
(606) 642-3740
Mailing address
1893 RED FOX RD., BOX 98, RED FOX, KY 41847-0098
(606) 642-3250
(606) 642-3740
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
19066
KY
363LF0000X
Family Nurse Practitioner
2285P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64190663
—
KY
Enumeration date
08/21/2007
Last updated
02/12/2008
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