Provider Demographics
NPI:1215049242
Name:CORRINGTON, KIP ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:KIP
Middle Name:ALAN
Last Name:CORRINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-643-3378
Mailing Address - Fax:336-643-3670
Practice Address - Street 1:7607 NC HIGHWAY 68 N STE B
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NC
Practice Address - Zip Code:27310-8803
Practice Address - Country:US
Practice Address - Phone:336-643-3378
Practice Address - Fax:336-643-3670
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200000755207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5831404OtherCIGNA
0106804OtherUNITED HEALTHCARE
7471351OtherAETNA
131W4OtherBCBS
191677OtherMEDCOST
800208OtherPARTNERS
NC89131W4Medicaid
P00472868OtherMEDICARE RAILROAD
191677OtherMEDCOST
NC89131W4Medicaid