# MICHELLE LYNN DEPHILLIPS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851687289
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 2013017448 | MO | — |
| 208000000X | Pediatrics Physician | 94-08475 | KS | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 04-40096 | KS | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 2013017448 | MO | Yes |

## Other

- **Enumeration date:** 06/23/2011
- **Last updated:** 07/19/2017