Individual
TIMOTHY SHAWN CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-0303
(859) 323-1200
Mailing address
830 S LIMESTONE STE 304, LEXINGTON, KY 40536-0001
(859) 323-0303
(859) 323-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24731
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64247315
—
KY
Enumeration date
09/13/2006
Last updated
06/22/2023
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