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Individual

DR. RALPH DUNHAM CALDRONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
108 HOUSTON ST, SUITE C, LEXINGTON, VA 24450-2455
(540) 463-7628
(540) 463-6956
Mailing address
108 HOUSTON ST, SUITE C, LEXINGTON, VA 24450-2455
(540) 463-7628
(540) 463-6956

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101-249322
VA
207R00000X
Internal Medicine Physician
20872
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047058
BLUE CROSS & BLUE SHIELD
KY
01
022092900
BLACK LUNG INSURANCE
KY
01
1283881
UNITED MINE WORKERS ASSOC
KY
01
412013126
RAILROAD MEDICARE
KY
01
4382528
AETNA INSURANCE COMPANY
KY
05
64208721
KY
01
VVF476A
MEDICARE PTAN
VA
Enumeration date
04/26/2006
Last updated
12/24/2014
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