Provider Demographics
NPI:1134327968
Name:RIPPEE, MICHAEL A JAMES (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A JAMES
Last Name:RIPPEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:624 E 108TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4033
Mailing Address - Country:US
Mailing Address - Phone:417-880-3176
Mailing Address - Fax:913-588-6995
Practice Address - Street 1:UNIVERSITY OF KANSAS MEDICAL CTR
Practice Address - Street 2:3901 RAINBOW BLVD, MS 2012
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6996
Practice Address - Fax:913-588-6995
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-352072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology