Individual
MR. WAYNE STURGIS CALDARARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1726
(859) 323-6047
(859) 257-3873
Mailing address
620 SHERIDAN DR, LEXINGTON, KY 40503-1726
(502) 316-3918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC083
KY
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
TC083
KY
363AS0400X
Surgical Physician Assistant
TC083
KY
Other
Enumeration date
06/16/2021
Last updated
09/16/2021
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