Individual
DR. MARC TODD PHILIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, STE 201, COVINGTON, KY 41011-0801
(859) 655-4111
(859) 655-4815
Mailing address
1500 JAMES SIMPSON JR WAY, STE 201, COVINGTON, KY 41011-0801
(859) 655-4111
(859) 655-4815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40853
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2775822
—
OH
05
—
7100014640
—
KY
Enumeration date
05/22/2007
Last updated
12/15/2021
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