Individual
MR. JOHN KIRK PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, FNP-C
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2561
Mailing address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080
(650) 742-2561
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11892
CA
Other
Enumeration date
11/30/2006
Last updated
07/17/2007
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