KAHLIL ALI CHAPPELLE


Address: 2526 Pennsylvania Ave Se Ste C2625, Washington, DC 20020-6719
Phone: 2027485641

KAHLIL ALI CHAPPELLE (NPI# 1275023202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275023202
Entity Type Individual
Full Name KAHLIL ALI CHAPPELLE
Practice Address 2526 Pennsylvania Ave Se Ste C2625
Washington
DC 20020-6719
Mailing Address 14314 Hampshire Hall Ct
Upper Marlboro
MD 20772-2955
Practice Telephone 2027485641
Practice Fax Number 2027485647
Mailing Telephone 2024709740
Enumeration Date 2018-05-15
Last Update Date 2018-05-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
LG50077951 DC Ambulatory Health Care Facilities

Office Location

Street Address 2526 PENNSYLVANIA AVE SE STE C2625
City WASHINGTON
State DC
Zip Code 20020-6719

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20020

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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