Kipp, Larry J

Kipp, Larry J is an individual health care provider with primary practice located at 5145 Deer Park Dr , New Port Richey FL 34653-7013. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kipp, Larry J can be contacted via phone (727) 847-2406.

Contact Information

Primary practice address
5145 Deer Park Dr New Port Richey FL 34653-7013
Phone: (727) 847-2406
Fax: (855) 552-3776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P0000655 Florida

Profile Details

NPI number 1770699738
LBN Legal business name Kipp, Larry J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Nov 12th, 2018 - about 7 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 1770699738 NPPES
Florida Other P00414977 RAILROAD MEDICARE

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