Individual provider · Type 1 NPI

Khatuna Kipiani, NP

Family Nurse Practitioner · Bronx, NY

NPI number 1104151554 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Call (718) 583-7736 Map

Fax (718) 537-6180

Mailing address

2626 Halperin Ave
Bronx, NY 10461-2631

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	F352869 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1104151554

Khatuna Kipiani, NP's National Provider Identifier is 1104151554, issued on Oct 2, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Dec 28, 2023.