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Individual

MEGAN NICOLE KIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4440 S WASHINGTON ST, GRAND FORKS, ND 58201-7245
(701) 732-7000
(701) 732-7696
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-6000
(701) 780-5772

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1613
NV

Other

Enumeration date
03/27/2015
Last updated
11/10/2020
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