Individual
LISA DIANE KIPPENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2140
(405) 486-2574
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2140
(405) 486-2574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA977
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096810A
—
OK
01
—
970015207
RAILROAD MEDICARE
OK
Enumeration date
07/15/2005
Last updated
09/27/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us