Individual
DR. PHILLIP STEPHEN KICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5881 W 16TH ST, GREELEY, CO 80634-2910
(970) 353-1551
(970) 350-2478
Mailing address
5881 W 16TH ST, GREELEY, CO 80634-2910
(970) 353-1551
(970) 350-2478
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
231126
MA
208800000X
Urology Physician
Primary
DR.0057971
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000143001
—
CO
Enumeration date
05/18/2007
Last updated
04/21/2017
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