Lisa Diane Kippenberger, PA-C

NPI #1881693414 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1881693414
Entity Type: Individual
Name: Lisa Diane Kippenberger, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 15, 2005
Last Updated: Sep 27, 2013

Practice Location

Address: 9600 BROADWAY EXT
City: Oklahoma City
State: Oklahoma
ZIP Code: 73114-7408
Phone: (405) 486-2140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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