NPI 1003173402
Phillip Caudill
Practice location
- Address
- 104 S Front Ave, Prestonsburg, KY 41653-1614
- Phone
- (606) 886-8572
- Fax
- (606) 886-4433
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003173402
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Apr 2012
- Record last updated
- 23 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.