Individual
AMBER KAY GIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
3124 OAK ST, DAVENPORT, IA 52804-1433
(563) 320-0890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.006421
IL
363A00000X
Physician Assistant
Primary
089093
IA
Other
Enumeration date
11/09/2017
Last updated
04/07/2020
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