Kyle N Lipke PA

NPI 1174719389 - Physician Assistant - 363A00000X

NPI Details
NPI 1174719389
Gender Male
Enumeration Date 09/20/2007
Last Updated 01/25/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
400 S GRAND
CRESCENT OK, 73028-9118, US
Phone (405) 969-2818
Fax (405) 969-2821
Business Location
400 S GRAND
CRESCENT OK, 73028-9118, US
Phone (405) 969-2818
Fax (580) 436-4447
Toxanomy
Taxonomy Code 363A00000X
License State Oklahoma
License Number 1667
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According to our database, Mr. Kyle N Lipke PA NPI is 1174719389, taxonomy code is 363A00000X and license number is 1667, license state is located at Oklahoma. Kyle N Lipke PA physically located at 400 S Grand, Crescent OK, 73028-9118. NPI Number Kyle N Lipke PA has the Individual type.

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1174719389 NPI number is provided on an as is basis without warranty of any kind. 1174719389 is maintained by the National Plan & Provider Enumeration System. The contents of Kyle N Lipke PA are for informational purposes only.