Kenneth B Chapman, M.D.
Anesthesiology, Pain Medicine in Staten Island, NY. Individual provider (NPI-1).
NPI number1366494262
StatusActive
Last updated in NPPESJan 5, 2023
Details
- NPI
- 1366494262
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth B Chapman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2006
- Certification date
- Jan 5, 2023
- Last updated
- Jan 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | 233952 | NY | Yes |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 233952 | NY |
Practice location
1360 Hylan BlvdStaten Island, NY 10305-1922
Phone 718-667-3577
Mailing address
1360 Hylan BlvdStaten Island, NY 10305-1922
Phone 718-667-3577 · Fax 347-875-1804
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