Individual
JENNIFER P KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7348
(651) 232-6665
Mailing address
861 GREAT OAKS TRL, EAGAN, MN 55123-2435
(651) 454-9251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1057015
MN
Other
Enumeration date
05/09/2006
Last updated
10/09/2015
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