Individual
MRS. JALEY ELIZABETH CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 BLACK GOLD BLVD STE 106, HAZARD, KY 41701-2620
(606) 436-0711
Mailing address
20 CALEB BRANCH RD, REDFOX, KY 41847-9059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC015
KY
Other
Enumeration date
05/30/2023
Last updated
09/14/2023
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