Individual
ALLIE CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
391 W TOM T HALL BLVD, OLIVE HILL, KY 41164-7688
(606) 286-8039
(606) 286-6108
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ED1046
WV
207Q00000X
Family Medicine Physician
Primary
TP342
KY
Other
Enumeration date
06/17/2021
Last updated
07/25/2024
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