Individual
DR. STACY D. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11225 NALL AVE, STE. 100, LEAWOOD, KS 66211-1669
(913) 345-8020
(913) 338-5483
Mailing address
11225 NALL AVE, STE. 100, LEAWOOD, KS 66211-1669
(913) 345-8020
(913) 338-5483
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1637
KS
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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