Kipervas, Yelena

Kipervas, Yelena is an individual health care provider with primary practice located at 104 Skinner Hill Rd , Stroudsburg PA 18360-7505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kipervas, Yelena can be contacted via phone (570) 619-0080.

Contact Information

Primary practice address
104 Skinner Hill Rd Stroudsburg PA 18360-7505
Phone: (570) 619-0080
Fax: (570) 619-0082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS011926 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS011926 Pennsylvania

Profile Details

NPI number 1821127721
LBN Legal business name Kipervas, Yelena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Sep 4th, 2020 - about 4 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 1821127721 NPPES
Pennsylvania MEDICAID 0018805470004

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