Kimberly Anne Caldwell, CSFA
Physician Assistant, Surgical in Travelers Rest, SC. Individual provider (NPI-1).
NPI number1003207101
StatusActive
Last updated in NPPESApr 20, 2015
Details
- NPI
- 1003207101
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Anne Caldwell
- Credential
- CSFA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2015
- Last updated
- Apr 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | SC | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – |
Practice location
306 Roosevelt AveTravelers Rest, SC 29690-1750
Phone 864-871-1644
Mailing address
306 Roosevelt AveTravelers Rest, SC 29690-1750
Phone 864-871-1644
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