Individual
MRS. KELLY M CHAPELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
374 STATE ROUTE 6, RAYMOND, WA 98577-9675
(360) 208-4802
(360) 942-5580
Mailing address
374 STATE ROUTE 6, RAYMOND, WA 98577-9675
(360) 208-4802
(360) 942-5580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017501
WA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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