Individual
DR. KIMBERLEY JO PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(309) 782-1824
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5349
(309) 782-1824
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
01065298A
IN
208D00000X
General Practice Physician
01065298A
IN
Other
Enumeration date
09/19/2008
Last updated
10/16/2024
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