Individual
KEVIN A CALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W TEMPLE AVE, EFFINGHAM, IL 62401
(217) 540-2350
Mailing address
900 W TEMPLE AVE, EFFINGHAM, IL 62401-2121
(217) 540-2350
(217) 347-2323
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036-137408
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036137408
—
IL
Enumeration date
08/29/2012
Last updated
05/03/2019
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