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HEDWINE CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
321 E MAIN ST, MOREHEAD, KY 40351-1671
(606) 784-4161
(606) 783-9952
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1023058
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2062S
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000230009
ANTHEM BCBS
01
11478506
CAQH
01
1175036
CHA
01
279410
MANAGED HEALTH
05
30610026
KY
Enumeration date
08/10/2006
Last updated
03/19/2008
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