Individual
MISS ELIZABETH MCKENZIE KIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 PARK PL STE 200, SAN RAMON, CA 94583-4416
(925) 867-1800
Mailing address
380A 49TH ST, OAKLAND, CA 94609-2237
(949) 350-0059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57957
CA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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