Individual
KELLY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 S UNION BLVD STE 350, COLORADO SPRINGS, CO 80910-3146
(719) 633-5515
(719) 471-2258
Mailing address
5117 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-5353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.00625965
CO
390200000X
Student in an Organized Health Care Education/Training Program
125.068515
IL
Other
Enumeration date
06/15/2016
Last updated
08/07/2019
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