Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Diane Kippenberger, PA-C

Individual provider Physician Assistant · NPI 1881693414

Lisa Diane Kippenberger, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2005.

Licensed in
OK
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone: (405) 486-2140
Fax: (405) 486-2574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA977 (OK)

Record details

NPI number1881693414
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2005
Last updated in NPPESSeptember 27, 2013

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