Provider Demographics
NPI:1528025517
Name:CALDRONEY, RALPH DUNHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:DUNHAM
Last Name:CALDRONEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:108 HOUSTON ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2455
Mailing Address - Country:US
Mailing Address - Phone:540-463-7628
Mailing Address - Fax:540-463-6956
Practice Address - Street 1:108 HOUSTON ST
Practice Address - Street 2:SUITE C
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2455
Practice Address - Country:US
Practice Address - Phone:540-463-7628
Practice Address - Fax:540-463-6956
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2014-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY20872207R00000X
VA0101-249322207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64208721Medicaid
KY412013126OtherRAILROAD MEDICARE
VAVVF476AOtherMEDICARE PTAN
KY022092900OtherBLACK LUNG INSURANCE
KY1283881OtherUNITED MINE WORKERS ASSOC
KY4382528OtherAETNA INSURANCE COMPANY
KY000000047058OtherBLUE CROSS & BLUE SHIELD
KY1283881OtherUNITED MINE WORKERS ASSOC
VAVVF476AOtherMEDICARE PTAN