Individual
DR. KATHLEEN PHILLIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E 12TH ST, SWEETWATER, TX 79556-2317
(325) 235-2869
(325) 235-2842
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G2615
TX
251K00000X
Public Health or Welfare Agency
G2615
TX
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096494201
—
TX
Enumeration date
09/06/2006
Last updated
11/01/2024
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