Individual
MISS KATHRYN LYNN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4576
Mailing address
1805A LEIGHTON DR, GREENVILLE, NC 27834-4851
(704) 962-5738
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
4PG0MM
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5009940
NC
Other
Enumeration date
10/04/2017
Last updated
02/16/2024
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