Individual
MRS. JAN E HIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1118 REMINGTON PLZ, RAYMORE, MO 64083-8584
(816) 318-1725
(816) 318-1189
Mailing address
1118 REMINGTON PLZ, RAYMORE, MO 64083-8588
(816) 318-1725
(816) 318-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004017634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208436915
—
MO
Enumeration date
09/09/2005
Last updated
07/08/2007
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