Individual
MICHAEL A PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 N MAIN ST, ULYSSES, KS 67880-2133
(620) 356-1266
Mailing address
415 N MAIN ST, ULYSSES, KS 67880-2133
(620) 356-1266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
040596
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
557410
KS
Other
Enumeration date
10/10/2005
Last updated
02/21/2022
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