Individual
MISS KEARSTEN ANN PIPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34 COMMERCIAL ST, GOWANDA, NY 14070-1408
(716) 532-8100
Mailing address
10675 PROSPECT ST, GOWANDA, NY 14070-9601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
348837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06975011
—
NY
Enumeration date
12/01/2021
Last updated
11/12/2025
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