Individual
DR. KATIE LYNN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7101 CEDAR SPRINGS BLVD, LOUISVILLE, KY 40291-2587
(502) 231-7753
Mailing address
13600 TERRACE CREEK DR APT 100, LOUISVILLE, KY 40245-4896
(812) 583-3986
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1863DT
KY
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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