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NPI Code Detail

MEDICARE: HEIDI L KIPP NP

MEDICARE: HEIDI L KIPP NP
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
1363LA2100XAcute Care Nurse Practitioner430141NY
2363LA2100XAcute Care Nurse PractitionerF430141NY

General Provider Information

NPI Number : 1497732226
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI L KIPP NP
Provider Business Mailing Address
First Line : 2365 S CLINTON AVE
Second Line : SUITE 100
City : ROCHESTER
State : NY
Zip : 14618-2645
Country : US
Telephone Number : 585-442-5320
Fax Number : 585-442-5526
Provider Business Practice Location Address
First Line : 2365 S CLINTON AVE
Second Line : SUITE 100
City : ROCHESTER
State : NY
Zip : 14618-2645
Country : US
Telephone Number : 585-442-5320
Fax Number : 585-442-5526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 07/05/2023

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Directions to “ HEIDI L KIPP NP” Practice Location

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