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Contact Information

NOAH KIPPENHAN, MAT, LAT, ATC
608 SUMMER ST
CLARKSVILLE, TN37040
 Phone: 920-538-2635
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for NOAH KIPPENHAN · (Male)

NPI # 1831944578
Status Active
Credentials MAT, LAT, ATC
Entity Individual
Enumeration date 04/17/2024
Last updated 04/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 3132
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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