Kelly Phillips DO

NPI 1073593349 - Family Medicine - 207Q00000X

NPI Details
NPI 1073593349
Gender Female
Enumeration Date 01/20/2006
Last Updated 02/06/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
821 N. COLEMAN ST.
100
PROSPER TX, 75078, US
Phone (469) 800-5200
Fax (469) 800-5210
Business Location
821 N. COLEMAN ST.
100
PROSPER TX, 75078, US
Phone (469) 800-5200
Fax (469) 800-5210
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number M5441
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According to our database, Dr. Kelly Phillips DO NPI is 1073593349, taxonomy code is 207Q00000X and license number is M5441, license state is located at Texas. Kelly Phillips DO physically located at 821 N. Coleman St., Prosper TX, 75078. NPI Number Kelly Phillips DO has the Individual type.

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1073593349 NPI number is provided on an as is basis without warranty of any kind. 1073593349 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Phillips DO are for informational purposes only.