| Doctor Name: | MRS. KIPP SUZANNE WILHOIT |
| NPI Number: | 1285990051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 14117100062 |
| Business Practice Address: | 39105 E Renick Rd Oak Grove, MO - 640756162 |
| Business Phone Number: | 8166900023 |
| Business Fax Number: | |
| Mailing Address: | 39105 E Renick Rd, OAK GROVE |
| State: | MO |
| Postal Code: | 640756162 |
| Phone Number: | 8166900023 |
| Fax Number: | 8166900023 |
| NPI Enumeration Date: | 04/05/2012 |
| NPI Last Update Date: | 04/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 14117100062 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |