Individual
DR. KEVIN C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-3400
(479) 274-3499
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
C-6868
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115970001
—
AR
01
—
160037823
RR MEDICARE
—
Enumeration date
07/24/2006
Last updated
09/01/2015
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