Individual
KAYLA CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4000
Mailing address
1071 N WATERVILLE RD, OCONOMOWOC, WI 53066-9220
(262) 844-3766
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
68661-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10074636
—
WI
Enumeration date
04/03/2016
Last updated
11/06/2024
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