Individual
RAEGAN JAYE CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 W LINCOLN ST, LINDSBORG, KS 67456-2328
(785) 227-3308
Mailing address
605 W LINCOLN ST, LINDSBORG, KS 67456-2328
(785) 243-3371
(785) 227-4130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004856720001
—
KS
Enumeration date
05/07/2022
Last updated
11/08/2022
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