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Individual

DR. DELANA JEAN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
77-311 SUNSET DR, KAILUA KONA, HI 96740-9754
(850) 474-8100
(850) 474-8083
Mailing address
P.O. BOX 2508, KAILUA KONA, HI 96745-2508
(850) 474-8100
(850) 474-8083

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9600229
NC
207Q00000X
Family Medicine Physician
G56304
CA
207Q00000X
Family Medicine Physician
MD8224
HI
207Q00000X
Family Medicine Physician
Primary
ME 96370
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080167875
RAILROAD MEDICARE
01
562174647001
TRICARE
01
603011900
FEDERAL WORKERS COMP
01
67565
BCBS
NC
05
891192E
NC
01
C2730
MED COST
Enumeration date
07/14/2006
Last updated
06/09/2015
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