Individual
RICHARD J. KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3520 SINGING HILLS BLVD, SIOUX CITY, IA 51106-5110
(712) 294-7400
(712) 294-7436
Mailing address
PO BOX 328, SIOUX CITY, IA 51102-0328
(712) 279-5830
(712) 279-5883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02233
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02852
WELLMARK BCBS IA
IA
05
—
0479816
—
IA
05
—
10025306900
—
IA
Enumeration date
05/02/2006
Last updated
09/10/2012
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