Individual
PHYLLIS JEAN KAPELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
417 E NATASHA CT, TUCSON, AZ 85737-7383
(520) 989-9994
Mailing address
417 E NATASHA CT, TUCSON, AZ 85737-7383
(520) 989-9994
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
26030
OK
2085R0202X
Diagnostic Radiology Physician
35086051
OH
2085R0202X
Diagnostic Radiology Physician
42462-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
ME99800
FL
2085R0202X
Diagnostic Radiology Physician
N5147
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200270870A
—
OK
Enumeration date
05/27/2006
Last updated
11/23/2015
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