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Individual

HEIDI L KIPP

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2365 S CLINTON AVE, SUITE 100, ROCHESTER, NY 14618-2645
(585) 442-5320
(585) 442-5526
Mailing address
2365 S CLINTON AVE, SUITE 100, ROCHESTER, NY 14618-2645
(585) 442-5320
(585) 442-5526

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
430141
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F430141
NY

Other

Enumeration date
12/22/2005
Last updated
07/05/2023
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