Individual
DR. JAMES K PHILLIPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1777 ASHLEY CIR, BOWLING GREEN, KY 42104-3339
(270) 781-4090
(270) 842-3133
Mailing address
1777 ASHLEY CIRCLE, BOWLING GREEN, KY 42104-3339
(270) 781-4090
(270) 842-3133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18154
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000053948
BLUE CROSS BLUE SHIELD
KY
01
—
611356450
TAX ID#
KY
01
—
CH4189
RAILROAD MEDICARE
KY
Enumeration date
12/20/2005
Last updated
07/05/2017
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