Individual
DR. WILLIAM REVELLE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 W 106TH ST, SUITE 120, OVERLAND PARK, KS 66215-2305
(913) 894-2323
(913) 894-0841
Mailing address
12200 W 106TH ST, SUITE 120, OVERLAND PARK, KS 66215-2305
(913) 894-2323
(913) 894-0841
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
04-38170
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01262853
—
NY
01
—
2075
BLUE SHIELD
NY
01
—
4418300
AETNA
NY
01
—
MD428P
PREFERRED CARE
NY
01
—
P010187220
BLUE CHOICE
NY
Enumeration date
06/27/2006
Last updated
10/13/2016
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