Individual
ELISSA KIPFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10524 LONGWOOD DR, FORT WAYNE, IN 46845-1635
(260) 403-9713
Mailing address
10524 LONGWOOD DR, FORT WAYNE, IN 46845-1635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28147883A
IN
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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