Individual
MRS. KENNEDY POOLE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6569 HIGHWAY 84, FERRIDAY, LA 71334-4573
(318) 757-6559
(318) 757-7014
Mailing address
6569 HWY 84, FERRIDAY, LA 71334-4551
(318) 757-6559
(318) 757-6559
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
324530
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2543890
—
LA
Enumeration date
09/28/2020
Last updated
11/16/2023
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