Kris H Stipe in Jacksonville - Surgical

Kris H Stipe - NPI 1770587545

Kris H Stipe is a Surgical in Jacksonville, Florida. Kris H Stipe practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kris H Stipe is 1770587545. The last update date is 2022-11-23.

Kris H Stipe's current location address is 1824 King St, Jacksonville, Florida. You can contact this provider via phone number 9043843343 and fax number 9044006671. The mailing address for Kris H Stipe is 1824 King St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kris H Stipe
Address 1824 King St, Jacksonville, Florida
Phone Number 9043843343
Fax Number 9044006671
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1770587545
Provider Enumeration Date 2005-06-09
Last Updated Date 2022-11-23

Provider Mailing Address Detail

Address 1824 King St
City Jacksonville
State Florida (FL)
Post Code 3220447350
Phone Number 9043843343
Fax Number 9044006671

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA2738
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
970020282 MEDICARE RAILROAD
290099800 FL --

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FAQs about Kris H Stipe

What is the unique provider identifier assigned to Kris H Stipe?

The Kris H Stipe has been issued the NPI (National Provider Identifier) 1770587545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Kris H Stipe is geographically located?

The Kris H Stipe is physically situated at the following location: 1824 King St, Jacksonville, FL, 3220447350.

What is Kris H Stipe's area of expertise and its corresponding taxonomy classification?

The Kris H Stipe's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1770587545 to Kris H Stipe?

The Kris H Stipe received its 1770587545 assignment from the Centers for Medicare & Medicaid Services on 2005-06-09.

As of what date were the details related to Kris H Stipe most recently updated or revised?

The information pertaining to Kris H Stipe, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-23.

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