Individual
MS. KIMBERLY JOAN KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
532 E. 5TH ST #1, SOUTH BOSTON, MA 02127
(508) 269-9861
Mailing address
532 E. 5TH ST #1, SOUTH BOSTON, MA 02127
(508) 269-9861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
262545
MA
163WM0705X
Medical-Surgical Registered Nurse
262545
MA
163WP0218X
Pediatric Oncology Registered Nurse
262545
MA
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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