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Individual

MRS. CATHERINE KIPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1273 S 800 E, OREM, UT 84097-7232
(801) 226-1158
(801) 224-0737
Mailing address
2942 ROLLING KNOLLS DR, PROVO, UT 84604-4380
(801) 623-4358

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
197820-4405
UT
363LF0000X
Family Nurse Practitioner
APN00495
NV

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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