Phillips, Kelley

Phillips, Kelley is an individual health care provider with primary practice located at 601 John St Suite M124, Kalamazoo MI 49007-5341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Phillips, Kelley can be contacted via phone (269) 341-7500.

Contact Information

Primary practice address
601 John St Suite M124 Kalamazoo MI 49007-5341
Phone: (269) 341-7500
Fax: (269) 341-7540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004162 Michigan

Profile Details

NPI number 1447226733
LBN Legal business name Phillips, Kelley
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447226733 NPPES
Michigan MEDICAID 1447226733
Michigan Other 1417961137

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