Individual
KATELIND SCARLETT PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
CRNA
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(765) 228-6751
Mailing address
1560 STONECREEK DR, NILES, MI 49120-8639
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28273763A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
041.590643
IL
Other
Enumeration date
07/19/2025
Last updated
06/15/2026
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