Kipps, David Leo

Kipps, David Leo is an individual health care provider with primary practice located at 700 Frederick St Ste 203 , Santa Cruz CA 95062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kipps, David Leo can be contacted via phone (831) 425-1906.

Contact Information

Primary practice address
700 Frederick St Ste 203 Santa Cruz CA 95062
Phone: (831) 425-1906
Fax: (831) 469-8764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G33598 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G33598 California

Profile Details

NPI number 1972510048
LBN Legal business name Kipps, David Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated May 23rd, 2016 - about 8 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 1972510048 NPPES
California MEDICAID GR0056730

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