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Individual

PHYLLIS JEAN KAPELLEN

Active
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Individual

PHYLLIS JEAN KAPELLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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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