Individual
KIPP VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
155 S MIAMI AVE, #700, MIAMI, FL 33130
(305) 779-9600
(305) 779-9600
Mailing address
155 S MIAMI AVE, SUITE 700, MIAMI, FL 33130
(305) 779-9600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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