Provider Demographics
NPI:1821150533
Name:CHIAPPONE, KIMBERLEY LEONARD (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLEY
Middle Name:LEONARD
Last Name:CHIAPPONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:716-835-1246
Mailing Address - Fax:716-835-0396
Practice Address - Street 1:4043 MAPLE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1057
Practice Address - Country:US
Practice Address - Phone:716-835-1246
Practice Address - Fax:716-835-0396
Is Sole Proprietor?:No
Enumeration Date:2006-12-16
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP006102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB4622Medicare PIN