Individual
DR. KENNETH ROSWELL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 PAUL AVE, WARWICK, RI 02886-7317
(401) 737-1631
Mailing address
16 PAUL AVE, WARWICK, RI 02886-7317
(401) 737-1631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12248
RI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD12248
RI
Other
Enumeration date
09/07/2006
Last updated
08/08/2012
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