Individual
KEVIN JOSEPH CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33664 BAYVIEW MEDICAL DR UNIT 2, LEWES, DE 19958-1687
(302) 644-4954
(302) 645-5481
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-8856
(217) 545-2563
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
125.062550
IL
2086S0129X
Vascular Surgery Physician
Primary
C1-0012826
DE
Other
Enumeration date
05/08/2011
Last updated
07/28/2020
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