Individual
KAETLYNN BROOKE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3500 SW 6TH AVE, TOPEKA, KS 66606-2814
(785) 235-0335
Mailing address
2412 SE BLAIR DR, TOPEKA, KS 66605-1864
(785) 438-7115
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
53-123764-011
KS
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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