Individual
CHADRICK SCOTT CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 HIGHWAY 15 SOUTH, JEFF, KY 41751
(606) 476-9874
(606) 476-9871
Mailing address
PO BOX 606, ISOM, KY 41824-0606
(606) 476-9874
(606) 476-9871
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457631483
—
KY
Enumeration date
10/14/2013
Last updated
02/10/2017
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