Individual
KRISTINALIN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
305 ESTILL ST, BEREA, KY 40403-1742
(859) 986-6527
(859) 986-7355
Mailing address
305 ESTILL ST, BEREA, KY 40403-1742
(859) 986-6527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
3003240
KY
363L00000X
Nurse Practitioner
3003240P
KY
363LF0000X
Family Nurse Practitioner
Primary
3240P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78000874
—
KY
Enumeration date
06/15/2005
Last updated
01/22/2021
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