Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY PHILLIPS
Active Sole ProprietorKELLY PHILLIPS is a Specialist healthcare provider located in NEWCASTLE, California. NPI 1700403524 is currently active in the NPPES registry. Verify at CMS.
Specialist · NEWCASTLE, CA
Registration Details
- NPI Number
- 1700403524
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2020 (5.9507813036172 yrs)
- Last Updated
- Jun 27, 2020
- License
-
Z3756 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4650 FRUITVALE RDNEWCASTLE, CA, 956589240Browse CA providers · Browse ZIP 95658
- Phone
- 5304880713
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in NEWCASTLE, CA
| Name | Credential | NPI |
|---|---|---|
| DEBRA NYLAND JARVIS | MS | 1649521980 |
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.