Individual
KELLY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2113 MANOR RIDGE DR, LANCASTER, PA 17603-4215
(717) 517-7841
(717) 517-7853
Mailing address
2113 MANOR RIDGE DR, LANCASTER, PA 17603-4215
(717) 517-7841
(717) 517-7853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD474481
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT216574
PA
Other
Enumeration date
06/21/2018
Last updated
11/16/2022
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