NPI 1336174630 · live from the CMS NPI Registry
Kenneth M Caldwell, MD
Orthopaedic Surgery, Sports Medicine in Charleston, SC. National Provider Identifier 1336174630, active.
NPI record
| NPI | 1336174630 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 2093 Henry Tecklenburg Dr, Suite 200, Charleston, SC 29414 |
| Practice phone | 843-958-2500 |
| Mailing address | Po Box 751649, Charlotte, NC 28275 |
| Enumerated | July 12, 2006 |
| Last updated | November 11, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 14386 (SC) |
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 14386 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.