Individual
KAMI S PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 GREEN ST, SUITE 202, GARDNER, MA 01440-1396
(978) 630-4455
(978) 669-0046
Mailing address
250 GREEN ST, SUITE 202, GARDNER, MA 01440-1396
(978) 630-4455
(978) 669-0046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
157713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3186342
—
MA
Enumeration date
03/10/2006
Last updated
11/08/2016
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