Individual
KIMBERLY A KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BIRCH ST, NORWALK, CT 06851-5126
(203) 515-3293
Mailing address
4 BIRCH ST, NORWALK, CT 06851-5126
(203) 515-3293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82068
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82068
LICENSE
CT
Enumeration date
09/01/2020
Last updated
09/01/2020
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