Kipe, Larry Wayne

Kipe, Larry Wayne is an individual health care provider with primary practice located at 600 Russell St , Craig CO 81625-2018. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kipe, Larry Wayne can be contacted via phone (970) 824-3252.

Contact Information

Primary practice address
600 Russell St Craig CO 81625-2018
Fax: (970) 824-8015
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 28686 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR0028686 Colorado

Profile Details

NPI number 1396794046
LBN Legal business name Kipe, Larry Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Mar 20th, 2024 - about last year

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 1396794046 NPPES
Colorado Other 080044735 RIO GRAND MEDICARE
Colorado MEDICAID 01286863 RIO GRAND MEDICARE
Colorado Other 39693 RIO GRAND MEDICARE

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