Organization
KENNETH M. CALDWELL, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M CALDWELL MD (MD/PRESIDENT)
(925) 284-5300
Entity
Organization
Contact information
Practice address
3717 MT DIABLO BLVD STE 100, LAFAYETTE, CA 94549-3547
(925) 284-5300
(925) 284-5381
Mailing address
8 WHITE OAK DR, LAFAYETTE, CA 94549
(925) 284-5300
(925) 962-9561
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A22558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A225581
—
CA
Enumeration date
08/18/2006
Last updated
07/21/2022
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