Individual
TARA KIPPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 SW GAGE BLVD, COLMERY-O'NEIL VAMC, TOPEKA, KS 66622-0001
(785) 350-3111
(785) 350-4463
Mailing address
2200 SW GAGE BLVD, COLMERY-O'NEIL VAMC, TOPEKA, KS 66622-0001
(785) 350-3111
(785) 350-4463
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53-77594-111
KS
363LG0600X
Gerontology Nurse Practitioner
53-77594-111
KS
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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