Individual
KENNETH LEE CALDWELL
Active
Individual
KENNETH LEE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
P8866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114585395
TYPE 2-GROUP NPI
TX
05
—
146768079303
—
TX
01
—
83-4230855
TAX ID
TX
01
—
851963
INDIVIDUAL PTAN
TX
Enumeration date
06/25/2009
Last updated
09/13/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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