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Individual
MRS. KELLY ROBINSON PHILLIPS
Active
Individual
MRS. KELLY ROBINSON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02044
NC
363AM0700X
Medical Physician Assistant
0010-02044
NC
363AM0700X
Medical Physician Assistant
PA01364
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101374
—
NC
01
—
PA01364
PHYSICIAN ASSISTANT LICENSE NUMBER
OR
Enumeration date
06/17/2008
Last updated
05/12/2021
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