Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 35160 | AZ |
N | 2084N0402X | Child Neurologist | DR-50508 | CO |
N | 2084N0402X | Child Neurologist | K4654 | TX |
NPI | 1356322432 |
---|---|
Provider Name | Kevin E Chapman |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 20/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
062714 | (05) | AZ |
157914603 | (05) | TX |
87423251 | (05) | CO |
H83737 | (02) |