KELLY PHILLIPS
Specialist
Active
Individual
NPI: 1700403524
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist - Graphics Designer | 1744G0900X | No | - |
| Specialist | 174400000X | Yes | Z3756 (CA) |
Frequently Asked Questions
NPI 1700403524 is the National Provider Identifier for KELLY PHILLIPS, a Specialist provider located in Newcastle, CA. This NPI was enumerated on June 27, 2020.
KELLY PHILLIPS practices at 4650 FRUITVALE RD, Newcastle, CA 95658.
Quick Facts
- NPI
- 1700403524
- Type
- Individual
- Enumerated
- Jun 27, 2020
- Last Updated
- Jun 27, 2020
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