Gregory Kipp O.d.

NPI #1336411891 in Palatka, Florida

Provider Information

NPI Number: 1336411891
Entity Type: Organization
Organization Name: Gregory Kipp O.d.
Primary Specialty: Optometrist
Enumeration Date: Jan 30, 2012
Last Updated: Jan 30, 2012

Practice Location

Address: 3710 SAINT JOHNS AVE
City: Palatka
State: Florida
ZIP Code: 32177-4026
Phone: (386) 328-1562

Authorized Official

Name: DR. GREGORY T. KIPP, O.D.
Title: OWNER
Phone: (386) 673-4220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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