Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | SC005867 | PA |
N | 222Z00000X | Podiatrist | SC005867 | PA |
N | 213EP1101X | Primary Podiatric Medicine | SC005867 | PA |
N | 111NR0200X | Radiology | SC005867 | PA |
N | 213ER0200X | Radiology | SC005867 | PA |
N | 2081S0010X | Sports Medicine | SC005867 | PA |
N | 213ES0000X | Sports Medicine | SC005867 | PA |
Y | 213ES0103X | Foot & Ankle Surgery | SC005867 | PA |
N | 213ES0131X | Foot Surgery | SC005867 | PA |
NPI | 1689837650 |
---|---|
Provider Name | Dr. Kirstyn D Caldwell |
First Address | Colorado Springs, CO 80840 |
Second Address | Colorado Springs, CO 80840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 23/09/2021 |