Individual
KRYSTLE E PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0366100001
CIGNA GOVERNMENT SVC PTAN
AL
Enumeration date
12/07/2016
Last updated
01/05/2017
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