Individual
JEREMY DAVID CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
333 S 3RD ST, STE B, DANVILLE, KY 40422-2016
(859) 236-8730
(859) 236-4468
Mailing address
333 S 3RD ST, STE B, DANVILLE, KY 40422-2016
(859) 236-8730
(859) 236-4468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1779
KY
Other
Enumeration date
10/25/2012
Last updated
02/05/2014
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