Individual
MARY S PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
425 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 784-7551
(606) 780-2373
Mailing address
425 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 784-1049
(606) 783-1099
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27207
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64272073
—
KY
Enumeration date
07/18/2006
Last updated
02/10/2015
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