Phillips, Kelsie

Phillips, Kelsie is an individual health care provider with primary practice located at 708 Del Prado Blvd S Ste 7 , Cape Coral FL 33990-2676. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Phillips, Kelsie can be contacted via phone (239) 424-3660.

Contact Information

Primary practice address
708 Del Prado Blvd S Ste 7 Cape Coral FL 33990-2676
Phone: (239) 424-3660
Fax: (239) 424-3663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9223560 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9223560 Florida

Profile Details

NPI number 1033534995
LBN Legal business name Phillips, Kelsie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2014
Last updated Oct 11th, 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 1033534995 NPPES
Florida MEDICAID 110846500

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