Healthcare Provider Details

I. General information

NPI: 1609712892
Provider Name (Legal Business Name): KIMBERLY CHAPMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY ARKELL

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 ELDA DR
NORWOOD MA
02062-5106
US

IV. Provider business mailing address

31 ELDA DR
NORWOOD MA
02062-5106
US

V. Phone/Fax

Practice location:
  • Phone: 603-918-8508
  • Fax:
Mailing address:
  • Phone: 603-918-8508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: