KEVIN ALEXANDER CALDWELL NPI 1689588626

NPI Information

  • NPI: 1689588626
  • Provider Name: KEVIN ALEXANDER CALDWELL
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1607 EXECUTIVE AVE
    MYRTLE BEACH, SC
    ZIP 29577
  • Phone: (843) 712-7316

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NPI Details

Kevin Alexander Caldwell is an addiction (substance use disorder) counselor in Myrtle Beach, SC. Kevin Alexander Caldwell NPI is 1689588626. 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:

1607 EXECUTIVE AVE
MYRTLE BEACH, SC
ZIP 29577-501
Phone: (843) 712-7316
Fax: (843) 945-1022

The enumeration date for this NPI number is 9/29/2026 and was last updated on 9/29/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)ADC-IP3179SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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