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Individual

CHRISTA CAUDILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
44 WATER ST, OWINGSVILLE, KY 40360-8944
(606) 674-9776
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 498-8160

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
XXXXXXX
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100417320
KY
Enumeration date
06/08/2016
Last updated
11/08/2024
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