NPI 1003138181

Samuel M. Kippenberger, PAC

Practitioner Physician Assistant Springfield, VT

Practice location

Address: 25 Ridgewood Rd Esne/Springfield Hospital Emergency Department, Springfield, VT 05156-3050
Phone: (802) 885-7540

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031092 (VT)

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Registry record

NPI: 1003138181
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2010
Record last updated: 23 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.