Individual
MR. KENT ALAN TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TEACHING CREDNTIAL
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
100 N RODEO GULCH RD, SPC. 97, SOQUEL, CA 95073-2047
(831) 476-7987
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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