Individual
DIXIE KATE PERINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-9066
(573) 884-3037
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018007086
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1150670
NCCPA
—
Enumeration date
01/22/2018
Last updated
02/18/2021
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