Caldwell, Kenneth M

Caldwell, Kenneth M is an individual health care provider with primary practice located at 3717 Mt Diablo Blvd Ste 100 , Lafayette CA 94549-3547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Caldwell, Kenneth M can be contacted via phone (925) 284-5300.

Contact Information

Primary practice address
3717 Mt Diablo Blvd Ste 100 Lafayette CA 94549-3547
Fax: (925) 284-5381
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A22558 California

Profile Details

NPI number 1457398224
LBN Legal business name Caldwell, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 16th, 2018 - about 6 years ago

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 1457398224 NPPES
California Other 00A225581 STATE LICENSE NUMBER
California MEDICAID 00A225581 STATE LICENSE NUMBER

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