Individual
MS. KYLONI D PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1600 COIT RD, SUITE # 104, PLANO, TX 75075-6174
(318) 230-9020
(972) 519-1591
Mailing address
1600 COIT RD, SUITE # 104, PLANO, TX 75075-6174
(318) 230-9020
(972) 519-1591
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
788454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284967101
—
TX
05
—
284967102
—
TX
Enumeration date
02/17/2011
Last updated
04/05/2012
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