MEDICARE: KATHARINE DENISE CHAPMAN LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	L0025351	OK

General Provider Information

NPI Number	:	1225982382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE DENISE CHAPMAN LPN

Provider Business Mailing Address
First Line	:	1904 SANDPIPER ST
Second Line	:
City	:	MCALESTER
State	:	OK
Zip	:	74501-7352
Country	:	US
Telephone Number	:	918-429-7950
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 S GEORGE NIGH EXPY
Second Line	:
City	:	MCALESTER
State	:	OK
Zip	:	74501-7400
Country	:	US
Telephone Number	:	918-429-7950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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