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Individual

DR. KRYSTAL ANN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
13720 OLIVE BLVD, CHESTERFIELD, MO 63017-2602
(314) 896-3550
Mailing address
13720 OLIVE BLVD, CHESTERFIELD, MO 63017-2602

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2013001163
MO
111NR0400X
Rehabilitation Chiropractor
2013001163
MO
111NS0005X
Sports Physician Chiropractor
2013001163
MO

Other

Enumeration date
01/17/2013
Last updated
05/23/2017
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