Caddel, Kelley Shields

Caddel, Kelley Shields is an sole proprietor health care provider with primary practice located at 11642 W Florissant Ave , Florissant MO 63033-6723. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Caddel, Kelley Shields can be contacted via phone (314) 838-8220.

Contact Information

Primary practice address
11642 W Florissant Ave Florissant MO 63033-6723
Phone: (314) 838-8220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2012003226 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008015402 Missouri

Profile Details

NPI number 1942464060
LBN Legal business name Caddel, Kelley Shields
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2008
Last updated Feb 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942464060 NPPES
Missouri Other 2012003226 STATE LICENSE

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