Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH DEAN PHILLIPS JR., MD
Active Sole ProprietorKENNETH DEAN PHILLIPS JR., MD is a Family Medicine healthcare provider located in CAPE GIRARDEAU, Missouri. NPI 1053383281 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CAPE GIRARDEAU, MO
Registration Details
- NPI Number
- 1053383281
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2006 (20.541528853028 yrs)
- Last Updated
- Mar 29, 2021
- License
-
106690 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 DOCTORS PARKCAPE GIRARDEAU, MO, 637034928Browse MO providers · Browse ZIP 63703
- Phone
- 5736511333
- Fax
- 5736511324
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CAPE GIRARDEAU, MO
| Name | Credential | NPI |
|---|---|---|
| JOHN VAN EARNHART | M.D. | 1043218084 |
| RENO R COVA | MD | 1982605325 |
| CHARLES J LASTRAPES | DO | 1760483036 |
| DR. MARK C KASTEN | MD | 1518951060 |
| DR. SIDNEY KENT GRIFFITH | MD | 1285628867 |
| DR. DAVID O CATRON | MD | 1154315729 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.