Clark, Melissa Kipp

Clark, Melissa Kipp is an individual health care provider with primary practice located at 5304 Manatee Ave W , Bradenton FL 34209-3743. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Clark, Melissa Kipp can be contacted via phone (941) 747-7620.

Contact Information

Primary practice address
5304 Manatee Ave W Bradenton FL 34209-3743
Phone: (941) 747-7620
Fax: (941) 747-7148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY898 Florida

Profile Details

NPI number 1447462189
LBN Legal business name Clark, Melissa Kipp
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jun 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447462189 NPPES
Florida MEDICAID 3967300

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