Individual
DR. PHILIP N COLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 OLD LEBANON DIRT RD STE 200, HERMITAGE, TN 37076-2391
(615) 391-4545
Mailing address
200 MEDICAL CENTER DR, HAZARD, KY 41701-9466
(606) 487-7510
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
47738
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
64869
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100299100
—
KY
Enumeration date
04/28/2011
Last updated
07/31/2026
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