NPI 1003967761

Fred C Chiappetta, CERTIFIEDPEDORTHIST

Practitioner Specialist Kenosha, WI

Practice location

Address: 6821 39th Ave, Kenosha, WI 53142-7127
Phone: (262) 657-9142
Fax: (262) 657-9169

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 875 (WI)

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Registry record

NPI: 1003967761
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.