Individual
AMY S. KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7000
Mailing address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101249571
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101249571
VA
208VP0014X
Interventional Pain Medicine Physician
0101249571
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699970855
—
VA
Enumeration date
06/18/2007
Last updated
07/05/2023
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