Healthcare Provider Details

I. General information

NPI: 1528168341
Provider Name (Legal Business Name): ANN CHAPMAN R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 SCHWEGLER DR
LAWRENCE KS
66045-7559
US

IV. Provider business mailing address

3104 RIMROCK DR
LAWRENCE KS
66047-2717
US

V. Phone/Fax

Practice location:
  • Phone: 785-864-9500
  • Fax:
Mailing address:
  • Phone: 785-864-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number82
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: