Individual
RUSSELL GLENN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEARING SPECIALIST
Contact information
Practice address
103 C. MICHAEL DAVENPORT BLVD., SUITE 2, FRANKFORT, KY 40601
(502) 352-2468
(502) 352-2472
Mailing address
103 C. MICHAEL DAVENPORT BLVD., SUITE 2, FRANKFORT, KY 40601
(502) 352-2468
(502) 352-2472
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
KY0955
KY
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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