Individual
MR. KYLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
540 S DUPONT HWY STE 2, DOVER, DE 19901-4523
(302) 744-1064
(302) 739-2549
Mailing address
107 MOUNT PLEASANT RD, OXFORD, PA 19363-2416
(719) 480-4796
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
L1-0032177
DE
163WG0000X
General Practice Registered Nurse
RN590406
PA
363LF0000X
Family Nurse Practitioner
Primary
LG-0000702
DE
363LF0000X
Family Nurse Practitioner
SP023631
PA
Other
Enumeration date
07/07/2009
Last updated
03/14/2025
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