Individual
KIMBERLY A CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
120 AKERS FARM RD, CHRISTIANSBURG, VA 24073-4863
(540) 382-3440
(540) 382-7240
Mailing address
120 AKERS FARM RD, CHRISTIANSBURG, VA 24073-4863
(540) 382-3440
(540) 382-7240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001361
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41329
WELLMARK BCBS
IA
01
—
VV1195A
MEDICARE PTAN
VA
Enumeration date
08/09/2005
Last updated
06/28/2021
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