Provider Demographics
NPI:1144020181
Name:CHAPMAN-BROGDON, KRIS S
Entity type:Individual
Prefix:
First Name:KRIS
Middle Name:S
Last Name:CHAPMAN-BROGDON
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 1:14332 TIMBERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-0609
Mailing Address - Country:US
Mailing Address - Phone:803-466-1534
Mailing Address - Fax:
Practice Address - Street 1:14332 TIMBERGREEN DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-0609
Practice Address - Country:US
Practice Address - Phone:803-466-1534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator