Individual
DR. RICHARD KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 W HILL BLVD, CHARLESTON AFB, SC 29404-4704
(843) 963-6880
Mailing address
204 W HILL BLVD, CHARLESTON AFB, SC 29404-4704
(843) 963-6880
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
25271
NE
208D00000X
General Practice Physician
25271
NE
Other
Enumeration date
06/26/2008
Last updated
05/22/2024
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