Individual
NOAH KIPPENHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
608 SUMMER ST, CLARKSVILLE, TN 37040
(920) 538-2635
Mailing address
3000 DALTON SMITH CT # 1300-215, CLARKSVILLE, TN 37043-5354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3132
TN
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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