Individual
DR. GARY S KIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5674
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5674
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME110454
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003774800
—
FL
05
—
00938748A
—
GA
Enumeration date
06/05/2006
Last updated
10/28/2015
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