Individual
KENYA KIMESHA PHILIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2580 W CAMP WISDOM RD, SUITE 100-146, GRAND PRAIRIE, TX 75052
(972) 697-9592
Mailing address
7404 TORMES, GRAND PRAIRIE, TX 75054
(972) 697-9592
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
743388
TX
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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