Individual
CAROLYN KIPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
50671
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209025303
—
MO
Enumeration date
06/10/2006
Last updated
12/06/2018
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