Individual
KELLY A PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11315 BRIDGEPORT WAY SW, EMERGENCY DEPT, LAKEWOOD, WA 98499-3004
(253) 985-8700
Mailing address
11315 BRIDGEPORT WAY SW, EMERGENCY DEPT, LAKEWOOD, WA 98499-3004
(253) 985-8700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4759
OK
207P00000X
Emergency Medicine Physician
Primary
OP60477228
WA
Other
Enumeration date
07/29/2009
Last updated
09/09/2014
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