MEDICARE: KATHRYN FIPP BING M.D.

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	207V00000X	Obstetrics & Gynecology Physician	ME71666	FL
2	207VG0400X	Gynecology Physician	ME71666	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275593089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN FIPP BING M.D.

Provider Business Mailing Address
First Line	:	PO BOX 748817
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-8817
Country	:	US
Telephone Number	:	813-286-0333
Fax Number	:	813-282-1806

Provider Business Practice Location Address
First Line	:	1361 13TH AVE S STE 190&110
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-3233
Country	:	US
Telephone Number	:	904-247-5514
Fax Number	:	904-247-3363

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	06/21/2023

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