Individual
DR. KENNETH K PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
74090 EL PASO, SUITE 100, PALM DESERT, CA 92260
(760) 773-3338
(760) 779-8242
Mailing address
74090 EL PASO, SUITE 100, PALM DESERT, CA 92260
(760) 773-3338
(760) 779-8242
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3419
CA
Other
Enumeration date
09/15/2006
Last updated
11/19/2010
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