Individual
KEVIN TIPPETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8000 YORK RD, TOWSON, MD 21252-0001
(410) 704-2000
Mailing address
18 OAK SHADOWS CT, CATONSVILLE, MD 21228-2405
(267) 614-0697
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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