Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 02002686A | IN |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 1889 | NE |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2018-02004 | NC |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 34.013544 | OH |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R9995 | TX |
NPI | 1366546731 |
---|---|
Provider Name | Dr. Luissa V Kiprono |
First Address | San Antonio, TX 78229-3326 |
Second Address | San Antonio, TX 78229-3326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 01/07/2020 |