Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 03950 | KY |
NPI | 1164757951 |
---|---|
Provider Name | Dr. Edward H Caldwell |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Edgewood, KY 41017-3415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2009 |
Last Update Date | 14/09/2018 |