Provider Demographics
NPI:1851186191
Name:CHAFFIN, CAROLINE MARIE
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MARIE
Last Name:CHAFFIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-2004
Mailing Address - Country:US
Mailing Address - Phone:316-283-1950
Mailing Address - Fax:316-529-9351
Practice Address - Street 1:2024 N WOODLAWN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-1851
Practice Address - Country:US
Practice Address - Phone:316-247-9351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician