Individual
KALI HIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 487-9551
Mailing address
2680 LOST NATION RD, WILLOUGHBY, OH 44094-7542
(440) 487-9551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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