Individual
KRYSTINA LYNN CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
816 N CAMPUS DR, GARDEN CITY, KS 67846-6329
(620) 794-2339
Mailing address
816 N CAMPUS DR STE 200, GARDEN CITY, KS 67846-6332
(620) 794-2339
(785) 271-6572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12187
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12187
KSBSRB
KS
Enumeration date
07/06/2021
Last updated
07/06/2021
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