Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY DAVID CAUDILL, PA-C
ActivePhysician Assistant · DANVILLE, KY
Registration Details
- NPI Number
- 1205189404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2012 (13.501762449964 yrs)
- Last Updated
- Feb 5, 2014
- License
-
PA1779 (KY)
Practice Information
- Address
-
333 S 3RD STSTE BDANVILLE, KY, 404222016Browse KY providers · Browse ZIP 40422
- Phone
- 8592368730
- Fax
- 8592364468
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DANVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| FRANK A KOROLUK | PA | 1669479143 |
| MRS. MELYNDA MATHERLY | P.A. C. | 1295727592 |
| MARCY R WORKMAN | PA | 1891751426 |
| MS. BARBARA ANN BERN | P.A.-C. | 1609816826 |
| JESSICA M CORNELIUS | PAC | 1235235607 |
| JOSHUA RAY WRIGHT | PA-C | 1679812382 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.