Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | ME138657 | FL |
NPI | 1043509326 |
---|---|
Provider Name | Dr. Chad Warren Kaplan |
First Address | Lexington, KY 40509-4610 |
Second Address | Baton Rouge, LA 70806-3743 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 24/06/2019 |