Individual
HOLLY RENEE CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10216 TAYLORSVILLE RD STE 500, LOUISVILLE, KY 40299-3617
(502) 928-1050
(502) 928-1050
Mailing address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-7259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05275
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
06/17/2022
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