Individual
MS. KELLY W. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD FL 1, TAMPA, FL 33607-6307
(813) 870-4619
(813) 554-8956
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
ARNP9300213
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9300213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021409700
—
FL
Enumeration date
04/20/2017
Last updated
11/17/2023
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