| NPI | 1386605913 | 
|---|---|
| Former Name | KELLY L CHAPMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA01197) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA224405) | 
| Enumeration Date | 2006-03-31 | 
| Last Update Date | 2025-09-04 |