Individual
STACIE LYNN KIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
EVANS ARMY COMMUNITY HOSPITAL, 1650 CIR B7500, FT CARSON, CO 80913
(719) 524-4737
Mailing address
5480 SAMPLE WAY, COLORADO SPRINGS, CO 80919-2491
(719) 338-8686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0991051
CO
Other
Enumeration date
05/14/2014
Last updated
01/22/2024
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