Brent K. Caudill
General Practice Physician
Hwy 72 N
Salem
, Missouri 65560
Brent K. Caudill
General Practice Physician
Hwy 72 N
Salem
, Missouri 65560
(573) 729-6502
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Brent K. Caudill
- Hwy 72 N Po Box 774
- Salem, MO
- Zip : 65560
- Fax : (573) 729-6502
- Phone : (573) 729-6626
Second Address
- Brent K. Caudill
- Hwy 72 N
- Salem, MO
- Zip : 65560
- Fax : (573) 729-6502
- Phone : (573) 729-6626
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 109789 | MO |
National Provider Identifier
| NPI | 1023083722 |
|---|---|
| Provider Name | Brent K. Caudill |
| First Address | Salem, MO 65560 |
| Second Address | Salem, MO 65560 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 15/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B28548 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.