Individual
ADAM PAUL KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2275 S EAGLE RD STE 120, MERIDIAN, ID 83642-2620
(208) 514-2520
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-12218
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982968665
—
ID
Enumeration date
06/27/2012
Last updated
12/15/2023
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