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NPI Code Detail

MEDICARE: ASHLEIGH CAMILLE KIPPING RN

MEDICARE: ASHLEIGH CAMILLE KIPPING RN
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
1163WW0101XAmbulatory Women's Health Care Registered Nurse041463975IL

General Provider Information

NPI Number : 1235061003
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEIGH CAMILLE KIPPING RN
Provider Business Mailing Address
First Line : 585 PENROSE RD
Second Line :
City : DIXON
State : IL
Zip : 61021-9215
Country : US
Telephone Number : 815-625-4790
Fax Number : 815-632-5849
Provider Business Practice Location Address
First Line : 100 E LEFEVRE RD
Second Line :
City : STERLING
State : IL
Zip : 61081-1279
Country : US
Telephone Number : 815-625-4790
Fax Number : 815-632-5849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ ASHLEIGH CAMILLE KIPPING RN” Practice Location

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