Individual
MCKINZIE KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 COOPER AVE, GRAFTON, ND 58237-1512
(701) 256-4285
Mailing address
PO BOX 630, LANGDON, ND 58249-0630
(701) 256-4285
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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