Individual
KATHLEEN M PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS RNP
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4265
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4265
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22043
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KP08984
—
RI
Enumeration date
05/22/2006
Last updated
07/08/2007
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