Individual
KELLY SUSAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
424 MULBERRY ST, SUITE 1, MILTON, DE 19968-1628
(302) 684-0561
(302) 684-3563
Mailing address
113 BRIGHTON RD, REHOBOTH BEACH, DE 19971-3526
(302) 226-2877
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
MP14450167
DE
Other
Enumeration date
09/25/2006
Last updated
02/10/2009
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