Individual
KISH S PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E SILVER SPRINGS BLVD STE 127, OCALA, FL 34470-6833
(352) 502-4923
Mailing address
1515 E SILVER SPRINGS BLVD STE 127, OCALA, FL 34470-6833
(352) 502-4923
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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