Individual
DR. JOHN MARTIN PHILLIPS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BRECKENRIDGE ST STE 300, OWENSBORO, KY 42303-0877
(270) 688-4480
(270) 688-4489
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42304
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201142810
—
KY
05
—
7100077830
—
KY
Enumeration date
02/13/2007
Last updated
05/03/2019
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