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Individual

MR. KYLE C CHAPLIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
Mailing address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
098628
CT
163W00000X
Registered Nurse
RN2271353
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2271353
MA

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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