Healthcare Provider Details

I. General information

NPI: 1902714553
Provider Name (Legal Business Name): KELSIE LEIGH CHAPMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 N LEAVITT RD
LEAVITTSBURG OH
44430-9644
US

IV. Provider business mailing address

1001 N LEAVITT RD
LEAVITTSBURG OH
44430-9644
US

V. Phone/Fax

Practice location:
  • Phone: 330-898-3041
  • Fax: 330-898-1448
Mailing address:
  • Phone: 330-898-3041
  • Fax: 330-898-1448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.424498
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: