Caudell, Kim
Caudell, Kim is an sole proprietor health care provider with primary practice located at 1021 Quarrier St Ste 515 , Charleston WV 25301-2332. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Caudell, Kim can be contacted via phone (304) 346-9586.Contact Information
Primary practice address
1021 Quarrier St Ste 515
Charleston WV 25301-2332
Phone: (304) 346-9586
Fax: (304) 344-2169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 953 | West Virginia |
Profile Details
| NPI number | 1417142308 |
|---|---|
| LBN Legal business name | Caudell, Kim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Sep 13th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417142308 | NPPES |
| West Virginia | MEDICAID | 3810009722 |
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