Individual
KIMBERLY DAWN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1812 E MAIN ST, DOTHAN, AL 36301-3000
(334) 792-5184
Mailing address
1812 E MAIN ST, DOTHAN, AL 36301-3000
(334) 792-5184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-074781
AL
Other
Enumeration date
06/11/2014
Last updated
04/19/2018
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