Individual
DR. ALEX JOSEPH KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MALS
Contact information
Practice address
3915 TALBOT RD S STE 401, RENTON, WA 98055-5738
(425) 690-7592
(425) 690-9414
Mailing address
3915 TALBOT RD S STE 401, RENTON, WA 98055-5738
(425) 690-7592
(425) 690-9414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C170078
CA
207Q00000X
Family Medicine Physician
MD179582
OR
207Q00000X
Family Medicine Physician
Primary
MD60287601
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33708860
—
NM
Enumeration date
06/23/2010
Last updated
11/11/2023
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