Kipp, Melody Lane

Kipp, Melody Lane is an individual health care provider with primary practice located at 3206 Hillsdale Ln , Kissimmee FL 34741-7562. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kipp, Melody Lane can be contacted via phone (407) 530-5911.

Contact Information

Primary practice address
3206 Hillsdale Ln Kissimmee FL 34741-7562
Phone: (407) 530-5911
Fax: (888) 216-6045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH5173 Florida

Profile Details

NPI number 1689615189
LBN Legal business name Kipp, Melody Lane
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 3rd, 2014 - about 12 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 1689615189 NPPES
Florida MEDICAID 766636300

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