Individual
KENNETH MICHAEL KIPPELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14180 DALLAS PKWY, SUITE 520, DALLAS, TX 75254-4341
(972) 701-9696
(972) 701-9797
Mailing address
7036 TWIN KNOLL LANE, PLANO, TX 75024
(214) 693-5844
(972) 701-9797
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E5551
TX
Other
Enumeration date
04/19/2007
Last updated
08/07/2013
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