| Doctor Name: | SAMANTHA R. CALDWELL |
| NPI Number: | 1417353640 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3009076 |
| Business Practice Address: | 826 Ky 11 N Booneville, KY - 413149155 |
| Business Phone Number: | 6065936395 |
| Business Fax Number: | 6065935916 |
| Mailing Address: | Po Box 40, WHITESBURG |
| State: | KY |
| Postal Code: | 418580040 |
| Phone Number: | 6066334823 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2014 |
| NPI Last Update Date: | 11/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3009076 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |