Individual
SALLY MUDD CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
465 E HIGH ST, SUITE 208, LEXINGTON, KY 40507-1938
(859) 258-2733
Mailing address
465 E HIGH ST, SUITE 208, LEXINGTON, KY 40507-1938
(859) 258-2733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1028494
KY
163WC0400X
Case Management Registered Nurse
1028494
KY
163WM1400X
Nurse Massage Therapist (NMT)
1028494
KY
163WP0000X
Pain Management Registered Nurse
1028494
KY
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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