Caudill, Brenda H

Caudill, Brenda H is an individual health care provider with primary practice located at 1520 Boonesboro Rd , Winchester KY 40391-8816. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Caudill, Brenda H can be contacted via phone (859) 744-0067.

Contact Information

Primary practice address
1520 Boonesboro Rd Winchester KY 40391-8816
Phone: (859) 744-0067
Fax: (859) 744-0042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1070594 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002746 Kentucky

Profile Details

NPI number 1437114626
LBN Legal business name Caudill, Brenda H
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Feb 14th, 2017 - about 7 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 1437114626 NPPES
Kentucky MEDICAID 78003209

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