Individual
KAITLIN MARIE FAHEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E JEFFERSON AVE, WHITNEY, TX 76692-2398
(254) 694-2221
(254) 694-9978
Mailing address
202 E JEFFERSON AVE, WHITNEY, TX 76692-2398
(254) 694-2221
(254) 694-9978
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12695
TX
Other
Enumeration date
08/01/2019
Last updated
09/08/2021
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