Provider Demographics
NPI:1407692536
Name:EDIGER, CALEB EUGENE (APRN-BC)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:EUGENE
Last Name:EDIGER
Suffix:
Gender:M
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2470
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67504-2470
Mailing Address - Country:US
Mailing Address - Phone:316-944-3940
Mailing Address - Fax:
Practice Address - Street 1:3460 N RIDGE RD STE 120
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1223
Practice Address - Country:US
Practice Address - Phone:316-272-0800
Practice Address - Fax:316-272-0600
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-83335-061363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health