Individual
MRS. KENDRA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL DRIVE, PO BOX 9156, MORGANTOWN, WV 26506
(304) 293-4121
Mailing address
102 KENNYWOOD DR, FAIRMONT, WV 26554-8358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3014
WV
Other
Enumeration date
04/11/2023
Last updated
10/15/2025
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