Kim Caudell is a Clinical in Charleston, . Kim Caudell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim Caudell is 1417142308. The last update date is 2007-09-13.
Kim Caudell's current location address is Po Box 11210, Charleston, . You can contact this provider via phone number 3043469596 and fax number 3043442169. The mailing address for Kim Caudell is Po Box 11210, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Caudell |
|---|---|
| Address | Po Box 11210, Charleston, |
| Phone Number | 3043469596 |
| Fax Number | 3043442169 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417142308 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | Po Box 11210 |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253391210 |
| Phone Number | 3043469596 |
| Fax Number | 3043442169 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 953 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810009722 | WV | -- |
Post Comment/ Review Below
What is the Kim Caudell's unique identification number?
The Kim Caudell has been assigned the NPI (National Provider Identifier) Number 1417142308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kim Caudell is physically located?
The Kim Caudell is situated at the following address: Po Box 11210, Charleston, WV 253391210.
What is Kim Caudell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kim Caudell is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When was the Kim Caudell's 1417142308 issued?
The Kim Caudell's 1417142308 was issued on 2007-09-13.
As of what date were the details pertaining to Kim Caudell last refreshed?
The information related to the Kim Caudell, including its address, specialty, and other relevant details, was last updated on 2007-09-13.