Individual
KENNETH M CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3717 MT DIABLO BLVD STE 100, LAFAYETTE, CA 94549-3547
(925) 284-5300
(925) 284-5381
Mailing address
PO BOX 1298, LAFAYETTE, CA 94549-1298
(925) 284-5300
(925) 284-5381
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A22558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A225581
STATE LICENSE NUMBER
CA
05
—
00A225581
—
CA
Enumeration date
06/01/2006
Last updated
06/16/2018
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