Individual
CARMELITA D CAEDO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 624-1651
Mailing address
PO BOX 2108, LIBERAL, KS 67905-2108
(316) 685-6236
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
04-17155
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029854
BCBS
KS
Enumeration date
01/28/2006
Last updated
07/08/2007
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