Provider Demographics
NPI:1790071462
Name:CHAPMAN, KAREN SUSAN
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUSAN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6244 COLLEGEVUE PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1975
Mailing Address - Country:US
Mailing Address - Phone:513-591-2721
Mailing Address - Fax:
Practice Address - Street 1:6244 COLLEGEVUE PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-1975
Practice Address - Country:US
Practice Address - Phone:513-591-2721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400532130906374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide