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Individual
KILEY LIPKO
Active
Individual
KILEY LIPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1037934
DC
363L00000X
Nurse Practitioner
RN1037934
DC
363L00000X
Nurse Practitioner
Primary
SP031922
PA
Other
Enumeration date
12/04/2019
Last updated
02/02/2026
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