Individual
KENDALL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 N 3RD ST, HUGO, OK 74743-4001
(580) 372-2819
Mailing address
111 N 3RD ST, HUGO, OK 74743-4001
(803) 722-8195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204182
OK
Other
Enumeration date
06/20/2021
Last updated
04/03/2025
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