# KEVIN P CHAUSSEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962424440
- **Gender:** Man
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R25099 | ND | Yes |
| 363LF0000X | Family Nurse Practitioner | R25099 | ND | — |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 07/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1461171 | — | ND |
| 05 | — | 7771490 | — | SD |