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Individual

KIPP ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-6186
Mailing address
PO BOX 15609, DURHAM, NC 27704-0609
(919) 384-0200
(919) 384-0600

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041060
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8050738
NC
Enumeration date
11/09/2006
Last updated
06/30/2020
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