Individual
DR. DAVID LEO KIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 FREDERICK ST STE 203, SANTA CRUZ, CA 95062
(831) 425-1906
(831) 469-8764
Mailing address
700 FREDERICK ST STE 203, SANTA CRUZ, CA 95062
(831) 425-1906
(831) 469-8764
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G33598
CA
207RP1001X
Pulmonary Disease Physician
Primary
G33598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056730
—
CA
Enumeration date
08/02/2006
Last updated
05/23/2016
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