Individual
BEVERLY KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
239 GOLDEN HILL LN, KINGSTON, NY 12401-6452
(845) 486-2703
Mailing address
29 N HAMILTON ST, POUGHKEEPSIE, NY 12601-2541
(845) 486-2703
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
141550
NY
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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