Phipps, Larry D

Phipps, Larry D is an individual health care provider with primary practice located at 1400 W 4Th St , Coffeyville KS 67337-3306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Phipps, Larry D can be contacted via phone (620) 252-1200.

Contact Information

Primary practice address
1400 W 4Th St Coffeyville KS 67337-3306
Phone: (620) 252-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C001304 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54086 Kansas

Profile Details

NPI number 1043288913
LBN Legal business name Phipps, Larry D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jan 24th, 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 1043288913 NPPES
Kansas MEDICAID 100246250B
Kansas Other 430073196
Kansas MEDICAID 200017590A
Kansas Other 043406

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