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Caleb Simon

NPI 1720560816 · on the registry since 2018

Practice

Address
13207 W 58th St
Shawnee, KS 66216
Phone
(913) 318-8010

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
106H00000X
Licence states on file
IA, KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas