Individual
KIPP NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1255 S RANGE AVE, COLBY, KS 67701-4007
(785) 460-5476
Mailing address
1255 S RANGE AVE, COLBY, KS 67701-4007
(785) 460-5476
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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