Individual
CHARLES E CALDWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8726 US HWY 42, FLORENCE, KY 41042
(859) 647-2900
(859) 647-0140
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 442-6600
(859) 442-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18005
KY
207Q00000X
Family Medicine Physician
35072833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2151273
—
OH
05
—
64180052
—
KY
Enumeration date
04/25/2006
Last updated
09/07/2018
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