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Individual

DR. CANDACE C CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-6400
Mailing address
8461 MAPLEWOOD ST, LENEXA, KS 66215-2873
(913) 310-0260

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2000153631
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2087663601
KS
Enumeration date
04/13/2006
Last updated
06/15/2015
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