NPI | 1336166909 |
---|---|
Other Name | BRANDY LYNN CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA906) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC640) |
363AM0700X Physician Assistant, Medical (Licence: KY PA906) | |
363AS0400X Physician Assistant, Surgical (Licence: KY PA906) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2022-11-22 |