Provider Demographics
NPI:1659533248
Name:KIPPES, KELLIE (PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:KELLIE
Middle Name:
Last Name:KIPPES
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:KELLIE
Other - Middle Name:
Other - Last Name:VAVRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCPS
Mailing Address - Street 1:1835 FRANKLIN ST
Mailing Address - Street 2:EXEMPLA ST. JOSEPH HOSPITAL, 5TH FLOOR-PALLIATIVE CARE
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1835 FRANKLIN ST
Practice Address - Street 2:EXEMPLA ST. JOSEPH HOSPITAL, 5TH FLOOR-PALLIATIVE CARE
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1126
Practice Address - Country:US
Practice Address - Phone:303-594-7929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035024183500000X
CO18090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist