Provider Demographics
NPI:1548382047
Name:CALDWELL, CINDY L (PA)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1110 N LEE AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2612
Mailing Address - Country:US
Mailing Address - Phone:405-230-9337
Mailing Address - Fax:405-230-9157
Practice Address - Street 1:10616 W HIGHWAY 66 STE 100
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-0035
Practice Address - Country:US
Practice Address - Phone:405-467-2400
Practice Address - Fax:405-467-2401
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2022-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK754363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant