Provider Demographics
NPI:1821227166
Name:PIPES, KRAIG J (LPN)
Entity Type:Individual
Prefix:
First Name:KRAIG
Middle Name:J
Last Name:PIPES
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 AURA DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1528
Mailing Address - Country:US
Mailing Address - Phone:412-302-6480
Mailing Address - Fax:724-327-1145
Practice Address - Street 1:504 AURA DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1528
Practice Address - Country:US
Practice Address - Phone:412-302-6480
Practice Address - Fax:724-327-1145
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN254403L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse