Individual
KATRINKA T KIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 KIRMAN AVE STE 401, RENO, NV 89502-1360
(775) 324-6644
(775) 322-4748
Mailing address
3131 LA CANADA ST STE 230, LAS VEGAS, NV 89169-2551
(702) 732-1290
(702) 260-1926
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
8853
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016475
—
NV
01
—
NV7377
BLUE CROSS BLUE SHIELD
—
01
—
VWCLCQ
MEDICARE GROUP
NV
01
—
XPY191681
MEDI-CAL
—
Enumeration date
11/21/2005
Last updated
03/03/2022
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