Individual
DR. KELLI L. RIPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
421 NORTH MAIN, MULBERRY, AR 72947-8574
(479) 997-1484
(479) 997-1494
Mailing address
P.O. BOX 130, RATCLIFF, AR 72951-0130
(479) 635-0091
(479) 635-2010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-4805
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164905001
—
AR
01
—
P00411145
RR MEDICARE
—
Enumeration date
11/05/2006
Last updated
03/22/2017
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