Individual
KIMBERLY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5751
(608) 417-5315
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5751
(608) 417-5315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4832
WI
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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