Individual
MRS. ANITA KAY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-8074
(859) 301-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003201
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200473650
—
IN
05
—
2526449
—
OH
05
—
78005147
—
KY
Enumeration date
06/28/2005
Last updated
02/02/2022
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