| Doctor Name: | KENNETH MICHAEL KIPPELS |
| NPI Number: | 1821215849 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | E5551 |
| Business Practice Address: | 14180 Dallas Pkwy Suite 520 Dallas, TX - 752544341 |
| Business Phone Number: | 9727019696 |
| Business Fax Number: | 9727019797 |
| Mailing Address: | 7036 Twin Knoll Lane, PLANO |
| State: | TX |
| Postal Code: | 75024 |
| Phone Number: | 2146935844 |
| Fax Number: | 9727019797 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 08/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E5551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |