Individual
KAITLYN MARIE KIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 E WRANGLER BLVD, SEMINOLE, OK 74868-2640
(405) 380-5033
Mailing address
609 E WRANGLER BLVD, SEMINOLE, OK 74868-2640
(405) 380-5033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Enumeration date
03/08/2018
Last updated
04/12/2023
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