Individual
KIMBERLY KAY DUNN CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 MALLARD PL STE D, BENTONVILLE, AR 72712-6850
(479) 888-4787
(479) 553-7475
Mailing address
1100 MALLARD PL STE D, BENTONVILLE, AR 72712-6850
(479) 888-4787
(479) 553-7475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2909
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143817001
—
AR
01
—
5L930
MEDICARE UPIN
—
Enumeration date
05/03/2006
Last updated
01/29/2021
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