Individual
PATRICIA SUE KIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
PO BOX 5, HAZELWOOD, MO 63042-0005
(314) 895-3828
(314) 895-3827
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2013-018220
MO
Other
Enumeration date
06/21/2013
Last updated
01/16/2025
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