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
Phone: (970) 824-3252
Fax: (970) 824-8015
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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