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Individual

KELSEY L. KIPPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-CRNA

Contact information

Practice address
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201-1718
(847) 570-2760
(847) 570-2921
Mailing address
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201-1718
(847) 570-2760
(847) 570-2921

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041444002
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209024108
IL

Other

Enumeration date
06/10/2021
Last updated
11/14/2022
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