Active NPIIndividual provider

Samuel M Kippenberger, PA-C

Physician Assistant in Springfield, Vermont

NPI Number1003138181
Practice location
25 Ridgewood RD, Esne/Springfield Hospital Emergency Department, Springfield, VT 05156-3050
Fax
—
Last updated
October 23, 2013

Samuel M. Kippenberger is a Physician Assistant based in Springfield, VT. Samuel M. Kippenberger practices in Springfield, VT and has the professional credentials of PA-C. The NPI Number for Samuel M. Kippenberger is 1003138181 and holds a License No. 055.0031092 (VT). The current practice location address for Samuel M. Kippenberger is 25 Ridgewood RD, Esne/Springfield Hospital Emergency Department, Springfield, VT 05156-3050 and can be reached out via phone at 802-885-7540.

Provider Profile Details

NPI Number
1003138181
Provider Name
Samuel M. Kippenberger
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
25 Ridgewood RD, Esne/Springfield Hospital Emergency Department, Springfield, VT 05156-3050
Phone Number
802-885-7540
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2010
Last Update Date
October 23, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Ridgewood RD
Esne/Springfield Hospital Emergency Department
Springfield, VT 05156-3050
State
Vermont
Zip
05156-3050
Phone Number
802-885-7540
Springfield, VT 05156Get directions →

Provider Business Mailing Address Details

Address
25 Ridgewood RD
Esne/Springfield Hospital Emergency Department
Springfield, VT 05156-3050
City
Springfield
State
VT
Zip
05156-3050
Phone Number
802-885-7540

License Information

License Number
055.0031092
License State
VT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samuel M Kippenberger, PA-C?

The NPI number of Samuel M Kippenberger, PA-C is 1003138181. It was assigned on February 17, 2010 and is currently active in the NPPES registry.

What is the specialty of Samuel M Kippenberger, PA-C?

Samuel M Kippenberger, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055.0031092.

Where does Samuel M Kippenberger, PA-C practice?

The practice location is 25 Ridgewood RD, Esne/Springfield Hospital Emergency Department, Springfield, VT 05156-3050. The office can be reached at 802-885-7540 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003138181 directly on the NPPES registry website.

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