Shane Caudill is a student in an organized health care education training program in Belleville, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shane Caudill NPI is 1073900650. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2600 W MAIN ST
BELLEVILLE, IL
ZIP 62226-651
Phone: (618) 239-6109
The enumeration date for this NPI number is 4/21/2015 and was last updated on 4/21/2015.