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Individual

MRS. MARION LAWRENCE CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
3940 S DANVILLE BYP, DANVILLE, KY 40422-2529
(859) 236-3865
(859) 236-1690
Mailing address
3940 S DANVILLE BYP, DANVILLE, KY 40422-2529
(859) 236-3865
(859) 236-1690

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
KY0106
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000065710
ANTHEM/BLUE CROSS BLUE SH
KY
01
611323166
TRICARE
KY
01
640004050
RAILROAD MEDICARE
KY
Enumeration date
11/09/2005
Last updated
10/13/2011
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