Individual
KELLY KNIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1737 SE US HIGHWAY 54, EL DORADO, KS 67042-8264
(316) 321-7284
Mailing address
1737 SE US HIGHWAY 54, EL DORADO, KS 67042-8264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TMP-160337
KS
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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