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Organization
PHILLIPS PODIATRY CORP.
Active
Organization
PHILLIPS PODIATRY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KAHLE PHILLIPS JR. DPM (OWNER)
(760) 773-3338
Entity
Organization
Contact information
Practice address
74090 EL PASEO STE 100, PALM DESERT, CA 92260-4135
(760) 773-3338
(760) 779-8242
Mailing address
74090 EL PASEO STE 100, PALM DESERT, CA 92260-4135
(760) 773-3338
(760) 779-8242
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3631
CA
Other
Enumeration date
05/02/2007
Last updated
12/09/2010
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