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Contact Information

ETHEL D LUSTER CALDWELL, ARNP
870 TAYLORSVILLE ROAD
TAYLORSVILLE, KY40071
 Phone: 502-477-8888
 Fax: 502-477-2300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ETHEL D LUSTER CALDWELL · (Female)

NPI # 1154375020
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/22/2006
Last updated 01/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3004768
  • KY Medicaid 71000363800
  • KY Other 000000524808 ANTHEM
  • KY Other 4768P ARNP LIC#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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