Individual
KENNETH CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 5TH ST S STE 302, SAINT PETERSBURG, FL 33701-4804
(727) 767-4176
Mailing address
601 5TH ST S STE 302, SAINT PETERSBURG, FL 33701-4804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57633
TN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
151161
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2015
Last updated
08/01/2021
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