Individual
MICHAEL W KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
18511 N SCOTTSDALE RD STE 202, SCOTTSDALE, AZ 85255-9694
(480) 306-7242
Mailing address
18511 N SCOTTSDALE RD STE 202, SCOTTSDALE, AZ 85255-9694
(480) 306-7242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5277
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
757438
—
AZ
Enumeration date
10/30/2012
Last updated
11/04/2022
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