MEDICARE: DR. KIPP MORENO ROBINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	1811001205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	107007096101	OTHER	UT	IHC PROVIDER NUMBER

General Provider Information

NPI Number	:	1396741476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIPP MORENO ROBINS MD

Provider Business Mailing Address
First Line	:	1055 N 500 W
Second Line	:	ATTN: CREDENTIALING
City	:	PROVO
State	:	UT
Zip	:	84604-3305
Country	:	US
Telephone Number	:	801-354-8225
Fax Number	:	801-418-0941

Provider Business Practice Location Address
First Line	:	1055 N 500 W BLDG A
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-3305
Country	:	US
Telephone Number	:	801-812-5033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	11/27/2023

Similar Medicare Providers

1518187764 — ANNA NASH PA-C
Practice Location Address:

1055 N 500 W , SUITE 102
PROVO, UT
84604-3305

Practice Phone: 801-374-2367
Practice Fax:

1437028305 — MRS. TORI NICOLE BALSER FNP-C
Practice Location Address:

1055 N 500 W BLDG A
PROVO, UT
84604-3305

Practice Phone: 801-812-5033
Practice Fax:

1700749959 — DAYNA BERGMAN PA
Practice Location Address:

1055 N 500 W , STE 212, BLDG C
PROVO, UT
84604-3305

Practice Phone: 385-203-2720
Practice Fax: 801-375-4237

1851152292 — KRISTA M MARTINEZ FNP
Practice Location Address:

1055 N 500 W STE 201
PROVO, UT
84604-3305

Practice Phone: 801-429-8000
Practice Fax: 801-429-8150

1144223835 — DR. BRUCE C MCALLISTER MD
Practice Location Address:

1055 N 500 W , SUITE 102
PROVO, UT
84604-3305

Practice Phone: 801-374-2367
Practice Fax: 801-429-0600

1528050861 — NED B BUSHNELL PT
Practice Location Address:

1067 N 500 W BLDG B
PROVO, UT
84604-3305

Practice Phone: 801-370-9981
Practice Fax: 801-370-9984

Directions to “ DR. KIPP MORENO ROBINS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.