Individual
KERRY RAE PIPPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
415 1ST AVE, FAIRBANKS, AK 99701-4722
(907) 347-6494
Mailing address
665 CRANBERRY RIDGE DR, FAIRBANKS, AK 99712-1102
(907) 347-6494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
129
AK
235Z00000X
Speech-Language Pathologist
5888
CA
Other
Enumeration date
06/14/2007
Last updated
08/02/2009
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