Individual
DEBORAH K PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4071 TATES CREEK CENTRE DR STE 202, LEXINGTON, KY 40517-3094
(859) 226-0206
Mailing address
4071 TATES CREEK CENTRE DR STE 202, LEXINGTON, KY 40517-3094
(859) 226-0206
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
39747
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000745869
ANTHEM
KY
01
—
4492275
AETNA
KY
Enumeration date
12/06/2005
Last updated
01/08/2019
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