Phillips, Kevin
Phillips, Kevin is an sole proprietor health care provider with primary practice located at 11038 Glenn Watts Rd , Baton Rouge LA 70818-3317. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Phillips, Kevin can be contacted via phone (225) 223-7967.Contact Information
Primary practice address
11038 Glenn Watts Rd
Baton Rouge LA 70818-3317
Phone: (225) 223-7967
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | LA8124 | Louisiana |
Profile Details
| NPI number | 1649774639 |
|---|---|
| LBN Legal business name | Phillips, Kevin |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2018 |
| Last updated | Mar 22nd, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649774639 | NPPES |
| Louisiana | Other | 008821125 | DRIVER LICENSE |
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