Provider Demographics
NPI:1053557785
Name:CHAPMAN, KRISTIN BASSETT (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:BASSETT
Last Name:CHAPMAN
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 1:500 RUE DE LA VIE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5128
Mailing Address - Country:US
Mailing Address - Phone:225-928-5951
Mailing Address - Fax:225-928-5535
Practice Address - Street 1:500 RUE DE LA VIE
Practice Address - Street 2:SUITE 210
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5128
Practice Address - Country:US
Practice Address - Phone:225-928-5951
Practice Address - Fax:225-928-5535
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD203671207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4P058DG55OtherMEDICARE PTAN