Individual
CALEB TAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4963 W 135TH ST, LEAWOOD, KS 66224-6901
(913) 814-8222
(800) 886-3634
Mailing address
4963 W 135TH ST, LEAWOOD, KS 66224-6901
(913) 814-8222
(800) 886-3634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-44339
KS
207Q00000X
Family Medicine Physician
2018020668
MO
Other
Enumeration date
06/18/2018
Last updated
01/29/2026
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